Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.43 / $2,747.00 / $10,647.00	Facility		$777.43	$2,747.00	$10,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.43 / $1,251.64 / $1,526.57	Professional		$777.43	$1,251.64	$1,526.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $6,153.00 / $6,837.00	Facility		$5,470.00	$6,153.00	$6,837.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $938.32 / $938.32 / $1,150.63	Professional		$938.32	$938.32	$1,150.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,648.93 / $12,249.87 / $51,941.30	Facility		$1,648.93	$12,249.87	$51,941.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,648.93 / $2,539.35 / $38,955.98	Professional		$1,648.93	$2,539.35	$38,955.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,923.16 / $1,923.16 / $1,923.16	Facility		$1,923.16	$1,923.16	$1,923.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,413.55 / $7,413.55 / $7,413.55	Professional		$7,413.55	$7,413.55	$7,413.55
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 $1,292.98 / $1,986.77 / $2,633.40	Professional		$1,292.98	$1,986.77	$2,633.40