Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,818.38 / $8,511.38	Facility		$602.56	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,096.48 / $1,659.59	Professional		$371.54	$1,096.48	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $6,606.93 / $7,244.36	Facility		$1,023.29	$6,606.93	$7,244.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $660.69	Professional		$407.38	$478.63	$660.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $18,197.01 / $46,773.51	Facility		$1,445.44	$18,197.01	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $18,197.01 / $31,622.78	Professional		$1,412.54	$18,197.01	$31,622.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $2,454.71	Professional		$1,096.48	$1,737.80	$2,454.71