Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,044.33 / $8,229.00	Facility		$860.00	$2,044.33	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,127.98 / $2,014.26 / $2,160.80	Professional		$1,127.98	$2,014.26	$2,160.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,271.00 / $10,990.10 / $30,856.09	Facility		$9,271.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,701.54 / $2,061.87 / $2,230.42	Professional		$1,701.54	$2,061.87	$2,230.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,040.46 / $15,303.45 / $55,999.44	Facility		$2,040.46	$15,303.45	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,099.21 / $3,142.31 / $48,205.88	Professional		$2,099.21	$3,142.31	$48,205.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,520.26 / $2,520.26 / $2,520.26	Facility		$2,520.26	$2,520.26	$2,520.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,495.89 / $10,495.89 / $10,495.89	Professional		$10,495.89	$10,495.89	$10,495.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
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 $2,289.88 / $3,033.19 / $4,591.55	Professional		$2,289.88	$3,033.19	$4,591.55