Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $3,120.00 / $9,311.00	Facility		$1,924.00	$3,120.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,004.61 / $3,549.42 / $3,858.73	Professional		$2,004.61	$3,549.42	$3,858.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $8,988.00 / $9,987.00	Facility		$7,990.00	$8,988.00	$9,987.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,065.73 / $1,253.80 / $1,471.97	Professional		$1,065.73	$1,253.80	$1,471.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,046.88 / $55,999.44 / $112,749.50	Facility		$5,046.88	$55,999.44	$112,749.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,011.09 / $64,347.76 / $112,749.53	Professional		$5,011.09	$64,347.76	$112,749.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,393.89 / $4,393.89 / $4,393.89	Facility		$4,393.89	$4,393.89	$4,393.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,665.76 / $6,665.76 / $6,665.76	Professional		$6,665.76	$6,665.76	$6,665.76
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 $14,481.51 / $14,481.51 / $14,481.51	Facility		$14,481.51	$14,481.51	$14,481.51
United Facility/Professional Professional Modifier Low / Median / High Price $3,555.08 / $4,262.89 / $6,155.99	Professional		$3,555.08	$4,262.89	$6,155.99