Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,232.93	Facility		$10,000.00	$10,000.00	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $10,471.29 / $17,378.01	Professional		$9,120.11	$10,471.29	$17,378.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $21,379.62 / $22,387.21	Facility		$19,054.61	$21,379.62	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Professional		$11,220.18	$11,220.18	$11,220.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $28,183.83 / $36,307.81	Facility		$15,488.17	$28,183.83	$36,307.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20,892.96 / $26,302.68 / $33,113.11	Professional		$20,892.96	$26,302.68	$33,113.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $33,884.42 / $33,884.42	Facility		$12,882.50	$33,884.42	$33,884.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $21,379.62 / $100,000.00	Professional		$9,332.54	$21,379.62	$100,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $19,054.61	Professional		$100.00	$100.00	$19,054.61
United Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,589.25 / $14,791.08	Facility		$12,302.69	$12,589.25	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $10,471.29 / $14,454.40	Professional		$6,918.31	$10,471.29	$14,454.40