Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,456.28 / $8,229.00	Facility		$787.00	$1,456.28	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.76 / $1,660.15 / $1,998.82	Professional		$974.76	$1,660.15	$1,998.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.27 / $1,625.30 / $2,182.40	Professional		$1,348.27	$1,625.30	$2,182.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,403.06 / $1,925.77 / $2,221.52	Facility		$1,403.06	$1,925.77	$2,221.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,581.88 / $1,925.77 / $2,751.10	Professional		$1,581.88	$1,925.77	$2,751.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.52 / $1,698.52 / $1,698.52	Facility		$1,698.52	$1,698.52	$1,698.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,415.43 / $2,094.60 / $7,078.31	Professional		$1,415.43	$2,094.60	$7,078.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $100.00	Professional		$45.00	$45.00	$100.00
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 $1,386.85 / $2,074.09 / $2,750.08	Professional		$1,386.85	$2,074.09	$2,750.08