Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,548.69 / $8,229.00	Facility		$860.00	$2,548.69	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,960.54 / $2,058.65 / $3,217.50	Professional		$1,960.54	$2,058.65	$3,217.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $671.50 / $813.70 / $1,323.19	Professional		$671.50	$813.70	$1,323.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,917.49 / $2,616.80 / $100,236.50	Facility		$1,917.49	$2,616.80	$100,236.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,641.37 / $2,526.57 / $3,609.38	Professional		$1,641.37	$2,526.57	$3,609.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,354.05 / $2,354.05 / $2,354.05	Facility		$2,354.05	$2,354.05	$2,354.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.07 / $2,558.10 / $10,756.57	Professional		$1,737.07	$2,558.10	$10,756.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $65.00	Professional		$45.00	$45.00	$65.00
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,873.49 / $2,808.58 / $4,594.17	Professional		$1,873.49	$2,808.58	$4,594.17