Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $3,115.66 / $9,311.00	Facility		$787.00	$3,115.66	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,331.08 / $3,115.66 / $9,523.33	Professional		$1,331.08	$3,115.66	$9,523.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,496.00 / $10,683.00 / $11,870.00	Facility		$9,496.00	$10,683.00	$11,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $622.36 / $5,797.73 / $8,987.66	Professional		$622.36	$5,797.73	$8,987.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,509.16 / $20,119.89 / $47,249.53	Facility		$1,509.16	$20,119.89	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,509.16 / $19,379.21 / $34,198.61	Professional		$1,509.16	$19,379.21	$34,198.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.77 / $4,677.77 / $4,677.77	Facility		$4,677.77	$4,677.77	$4,677.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,282.23 / $11,282.23 / $11,282.23	Professional		$11,282.23	$11,282.23	$11,282.23
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 $1,168.00 / $11,288.00 / $16,855.00	Facility		$1,168.00	$11,288.00	$16,855.00
United Facility/Professional Professional Modifier Low / Median / High Price $9,746.86 / $14,993.67 / $19,879.77	Professional		$9,746.86	$14,993.67	$19,879.77