Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $3,941.64 / $8,229.00	Facility		$787.00	$3,941.64	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,941.64 / $4,186.24 / $5,016.16	Professional		$3,941.64	$4,186.24	$5,016.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$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 $5,575.37 / $5,575.37 / $5,575.37	Facility		$5,575.37	$5,575.37	$5,575.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,579.77 / $5,575.37 / $8,960.42	Professional		$4,579.77	$5,575.37	$8,960.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,697.63 / $4,697.63 / $4,697.63	Facility		$4,697.63	$4,697.63	$4,697.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,766.07 / $6,053.80 / $19,468.50	Professional		$3,766.07	$6,053.80	$19,468.50
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 $3,395.93 / $5,487.19 / $7,528.36	Professional		$3,395.93	$5,487.19	$7,528.36