Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.64 / $787.00 / $2,747.00	Facility		$270.64	$787.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $491.01 / $613.76	Professional		$270.64	$491.01	$613.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.21 / $741.62 / $907.08	Professional		$556.21	$741.62	$907.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $695.23 / $10,058.62 / $45,499.55	Facility		$695.23	$10,058.62	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $690.30 / $8,864.17 / $15,531.71	Professional		$690.30	$8,864.17	$15,531.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.72 / $608.72 / $608.72	Facility		$608.72	$608.72	$608.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,536.67 / $2,536.67 / $2,536.67	Professional		$2,536.67	$2,536.67	$2,536.67
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 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $508.20 / $696.30 / $1,000.85	Professional		$508.20	$696.30	$1,000.85