Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,416.94 / $8,229.00	Facility		$860.00	$2,416.94	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,443.75 / $2,416.94 / $3,087.00	Professional		$1,443.75	$2,416.94	$3,087.00
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 $1,511.61 / $2,182.05 / $2,517.16	Facility		$1,511.61	$2,182.05	$2,517.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,714.47 / $2,182.05 / $3,506.87	Professional		$1,714.47	$2,182.05	$3,506.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,588.77 / $2,588.77 / $2,588.77	Facility		$2,588.77	$2,588.77	$2,588.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,935.22 / $2,682.80 / $8,665.49	Professional		$1,935.22	$2,682.80	$8,665.49
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 $1,952.54 / $2,845.86 / $4,714.39	Professional		$1,952.54	$2,845.86	$4,714.39