Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.97 / $964.07 / $3,740.00	Facility		$224.97	$964.07	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $857.54 / $1,151.05	Professional		$224.97	$857.54	$1,151.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.21 / $659.28 / $9,271.00	Facility		$343.21	$659.28	$9,271.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.04 / $419.00 / $535.92	Professional		$328.04	$419.00	$535.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,339.05 / $33,841.57 / $55,999.44	Facility		$2,339.05	$33,841.57	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,903.59 / $29,611.37 / $52,255.35	Professional		$1,903.59	$29,611.37	$52,255.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,613.67 / $1,613.67 / $1,613.67	Facility		$1,613.67	$1,613.67	$1,613.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,763.38 / $6,763.38 / $6,763.38	Professional		$6,763.38	$6,763.38	$6,763.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
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 $1,132.83 / $1,569.09 / $2,633.83	Professional		$1,132.83	$1,569.09	$2,633.83