Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,111.92 / $8,229.00	Facility		$860.00	$2,111.92	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.09 / $2,080.54 / $2,466.51	Professional		$1,165.09	$2,080.54	$2,466.51
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 $1,861.04 / $2,214.00 / $2,439.48	Professional		$1,861.04	$2,214.00	$2,439.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,107.42 / $15,805.73 / $55,999.44	Facility		$2,107.42	$15,805.73	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,168.11 / $3,245.44 / $49,788.03	Professional		$2,168.11	$3,245.44	$49,788.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,604.13 / $2,604.13 / $2,604.13	Facility		$2,604.13	$2,604.13	$2,604.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,842.01 / $10,842.01 / $10,842.01	Professional		$10,842.01	$10,842.01	$10,842.01
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 $2,206.67 / $3,095.67 / $4,631.80	Professional		$2,206.67	$3,095.67	$4,631.80