Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,875.00 / $8,229.00	Facility		$787.00	$1,875.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $1,915.28	Professional		$1,875.00	$1,875.00	$1,915.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $9,565.00 / $11,253.00	Facility		$7,990.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,921.00 / $2,305.19 / $3,204.25	Professional		$1,921.00	$2,305.19	$3,204.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,499.20 / $3,654.72 / $37,799.62	Facility		$3,499.20	$3,654.72	$37,799.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,080.08 / $2,741.04 / $33,749.66	Professional		$2,080.08	$2,741.04	$33,749.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,402.93 / $11,402.93 / $11,402.93	Professional		$11,402.93	$11,402.93	$11,402.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $1,920.00 / $2,400.00	Professional		$1,440.00	$1,920.00	$2,400.00
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