Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,715.82 / $9,311.00	Facility		$787.00	$1,715.82	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.95 / $1,485.04 / $2,918.31	Professional		$841.95	$1,485.04	$2,918.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $8,988.00 / $9,987.00	Facility		$7,990.00	$8,988.00	$9,987.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.11 / $2,920.69 / $4,214.14	Professional		$687.11	$2,920.69	$4,214.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,977.68 / $55,999.44 / $111,203.50	Facility		$4,977.68	$55,999.44	$111,203.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,942.38 / $63,465.43 / $111,203.51	Professional		$4,942.38	$63,465.43	$111,203.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,123.45 / $4,123.45 / $4,123.45	Facility		$4,123.45	$4,123.45	$4,123.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14,175.33 / $14,175.33 / $14,175.33	Professional		$14,175.33	$14,175.33	$14,175.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,733.68 / $2,510.04 / $3,520.66	Professional		$1,733.68	$2,510.04	$3,520.66