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 $1,800.00 / $1,875.00 / $1,875.00	Professional		$1,800.00	$1,875.00	$1,875.00
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 $1,581.00 / $1,897.20 / $2,637.12	Professional		$1,581.00	$1,897.20	$2,637.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,467.50 / $5,710.50 / $7,695.00	Facility		$5,467.50	$5,710.50	$7,695.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,250.13 / $4,282.88 / $5,898.25	Professional		$3,250.13	$4,282.88	$5,898.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,178.52 / $8,178.52 / $8,178.52	Professional		$8,178.52	$8,178.52	$8,178.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,250.00 / $3,000.00 / $3,750.00	Professional		$2,250.00	$3,000.00	$3,750.00
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,583.00 / $30,001.00	Facility		$599.00	$4,583.00	$30,001.00