Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,818.38 / $8,511.38	Facility		$724.44	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $977.24	Professional		$575.44	$912.01	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,912.51 / $8,912.51	Facility		$7,244.36	$8,912.51	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,412.54	Professional		$870.96	$1,023.29	$1,412.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $17,378.01 / $46,773.51	Facility		$1,288.25	$17,378.01	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $16,595.87 / $29,512.09	Professional		$1,318.26	$16,595.87	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
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 $851.14 / $4,677.35 / $10,000.00	Facility		$851.14	$4,677.35	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,778.28	Professional		$831.76	$1,071.52	$1,778.28