Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.99 / $1,449.59 / $10,152.00	Facility		$792.99	$1,449.59	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.99 / $1,398.61 / $1,467.35	Professional		$792.99	$1,398.61	$1,467.35
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 $1,923.30 / $25,458.63 / $49,105.44	Facility		$1,923.30	$25,458.63	$49,105.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,909.66 / $24,522.03 / $42,967.26	Professional		$1,909.66	$24,522.03	$42,967.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,783.88 / $1,783.88 / $1,783.88	Facility		$1,783.88	$1,783.88	$1,783.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,017.53 / $7,017.53 / $7,017.53	Professional		$7,017.53	$7,017.53	$7,017.53
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 $1,538.03 / $2,107.76 / $2,681.44	Professional		$1,538.03	$2,107.76	$2,681.44