Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.66 / $9,496.00 / $11,627.00	Facility		$589.66	$9,496.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.17 / $589.66 / $2,408.67	Professional		$416.17	$589.66	$2,408.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.99 / $1,831.00 / $3,840.45	Facility		$870.99	$1,831.00	$3,840.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.50 / $254.15 / $446.56	Professional		$195.50	$254.15	$446.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $596.36 / $8,945.43 / $59,702.01	Facility		$596.36	$8,945.43	$59,702.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $526.40 / $7,603.62 / $13,934.24	Professional		$526.40	$7,603.62	$13,934.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.08 / $863.84 / $1,445.76	Professional		$522.08	$863.84	$1,445.76