Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $3,733.62 / $9,871.43	Facility		$787.00	$3,733.62	$9,871.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,733.62 / $4,044.01 / $5,101.43	Professional		$3,733.62	$4,044.01	$5,101.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.00 / $3,311.67 / $4,598.72	Professional		$2,754.00	$3,311.67	$4,598.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,281.37 / $5,281.37 / $5,281.37	Facility		$5,281.37	$5,281.37	$5,281.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,687.53 / $5,281.37 / $8,487.92	Professional		$3,687.53	$5,281.37	$8,487.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,449.77 / $4,449.77 / $4,449.77	Facility		$4,449.77	$4,449.77	$4,449.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,567.42 / $5,735.11 / $18,441.03	Professional		$3,567.42	$5,735.11	$18,441.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
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 $3,604.36 / $5,132.37 / $7,131.29	Professional		$3,604.36	$5,132.37	$7,131.29