Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,778.28 / $8,511.38	Facility		$467.74	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $1,148.15	Professional		$524.81	$812.83	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $10,232.93 / $10,232.93	Facility		$812.83	$10,232.93	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $645.65	Professional		$407.38	$478.63	$645.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $11,220.18 / $46,773.51	Facility		$776.25	$11,220.18	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $9,772.37 / $17,378.01	Professional		$630.96	$9,772.37	$17,378.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $1,995.26	Professional		$44.67	$44.67	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $912.01 / $1,698.24	Professional		$323.59	$912.01	$1,698.24