Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.91 / $1,168.00 / $14,536.00	Facility		$566.91	$1,168.00	$14,536.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.91 / $1,012.33 / $1,085.53	Professional		$566.91	$1,012.33	$1,085.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $5,350.00 / $5,944.00	Facility		$4,755.00	$5,350.00	$5,944.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.79 / $259.79 / $1,200.39	Professional		$259.79	$259.79	$1,200.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,445.57 / $20,914.68 / $47,249.53	Facility		$1,445.57	$20,914.68	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,435.32 / $21,529.83 / $32,294.75	Professional		$1,435.32	$21,529.83	$32,294.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,266.13 / $1,266.13 / $1,266.13	Facility		$1,266.13	$1,266.13	$1,266.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,274.43 / $5,274.43 / $5,274.43	Professional		$5,274.43	$5,274.43	$5,274.43
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 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,090.39 / $1,626.58 / $2,218.28	Professional		$1,090.39	$1,626.58	$2,218.28