Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.43 / $1,243.00 / $13,304.00	Facility		$430.43	$1,243.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.43 / $759.22 / $1,141.25	Professional		$430.43	$759.22	$1,141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $6,153.00 / $6,837.00	Facility		$5,470.00	$6,153.00	$6,837.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.00 / $4,369.33 / $6,902.33	Professional		$537.00	$4,369.33	$6,902.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,072.97 / $14,203.95 / $47,249.53	Facility		$1,072.97	$14,203.95	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,065.35 / $15,980.37 / $24,141.78	Professional		$1,065.35	$15,980.37	$24,141.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,114.47 / $1,114.47 / $1,114.47	Facility		$1,114.47	$1,114.47	$1,114.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,669.52 / $4,669.52 / $4,669.52	Professional		$4,669.52	$4,669.52	$4,669.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,066.13 / $1,630.90 / $2,161.08	Professional		$1,066.13	$1,630.90	$2,161.08