Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.39 / $860.00 / $3,740.00	Facility		$294.39	$860.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $612.19 / $774.92	Professional		$294.39	$612.19	$774.92
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 $420.25 / $494.42 / $674.24	Professional		$420.25	$494.42	$674.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $736.25 / $10,652.06 / $47,249.53	Facility		$736.25	$10,652.06	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $731.02 / $9,387.12 / $16,565.52	Professional		$731.02	$9,387.12	$16,565.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $919.07 / $919.07 / $919.07	Facility		$919.07	$919.07	$919.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,786.10 / $2,786.10 / $2,786.10	Professional		$2,786.10	$2,786.10	$2,786.10
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 $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.51 / $591.98 / $895.02	Professional		$399.51	$591.98	$895.02