Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.31 / $1,737.05 / $10,647.00	Facility		$813.31	$1,737.05	$10,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.31 / $1,452.34 / $1,782.27	Professional		$813.31	$1,452.34	$1,782.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,350.00 / $17,446.63 / $48,983.60	Facility		$5,350.00	$17,446.63	$48,983.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $50.00 / $175.26	Professional		$42.32	$50.00	$175.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,566.52 / $22,497.95 / $47,249.53	Facility		$1,566.52	$22,497.95	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,555.41 / $23,331.21 / $34,996.82	Professional		$1,555.41	$23,331.21	$34,996.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,722.49 / $1,722.49 / $1,722.49	Facility		$1,722.49	$1,722.49	$1,722.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,173.41 / $7,173.41 / $7,173.41	Professional		$7,173.41	$7,173.41	$7,173.41
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,841.17 / $2,829.09 / $3,809.64	Professional		$1,841.17	$2,829.09	$3,809.64