Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.78 / $787.00 / $8,229.00	Facility		$369.78	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.44 / $1,022.04 / $1,303.44	Professional		$605.44	$1,022.04	$1,303.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.58 / $1,699.21 / $6,559.00	Facility		$884.58	$1,699.21	$6,559.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.60 / $476.00 / $661.00	Professional		$404.60	$476.00	$661.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,497.23 / $18,243.21 / $43,381.85	Facility		$1,497.23	$18,243.21	$43,381.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,420.69 / $18,113.82 / $31,965.57	Professional		$1,420.69	$18,113.82	$31,965.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,282.59 / $1,282.59 / $1,282.59	Facility		$1,282.59	$1,282.59	$1,282.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,043.70 / $5,043.70 / $5,043.70	Professional		$5,043.70	$5,043.70	$5,043.70
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 $1,095.44 / $1,709.76 / $2,355.78	Professional		$1,095.44	$1,709.76	$2,355.78