Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $1,466.28 / $8,229.00	Facility		$557.00	$1,466.28	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.12 / $1,454.68 / $1,508.57	Professional		$821.12	$1,454.68	$1,508.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $6,559.00 / $7,288.00	Facility		$5,830.00	$6,559.00	$7,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $43.42 / $53.39	Professional		$43.42	$43.42	$53.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,470.74 / $15,062.50 / $50,749.49	Facility		$1,470.74	$15,062.50	$50,749.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,465.36 / $21,365.25 / $121,498.79	Professional		$1,465.36	$21,365.25	$121,498.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,759.54 / $1,759.54 / $1,759.54	Facility		$1,759.54	$1,759.54	$1,759.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,327.80 / $7,327.80 / $7,327.80	Professional		$7,327.80	$7,327.80	$7,327.80
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 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,577.48 / $2,240.21 / $3,112.72	Professional		$1,577.48	$2,240.21	$3,112.72