Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.50 / $690.00 / $8,229.00	Facility		$517.50	$690.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $517.50 / $559.26	Professional		$517.50	$517.50	$559.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $841.50 / $1,019.70 / $1,406.43	Professional		$841.50	$1,019.70	$1,406.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,316.63 / $1,465.41 / $1,988.77	Facility		$1,316.63	$1,465.41	$1,988.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,119.99 / $1,475.88 / $33,749.66	Professional		$1,119.99	$1,475.88	$33,749.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,120.84 / $2,120.84 / $2,120.84	Professional		$2,120.84	$2,120.84	$2,120.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $775.35 / $930.42 / $1,046.72	Professional		$775.35	$930.42	$1,046.72
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00