Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.19 / $1,243.00 / $13,304.00	Facility		$531.19	$1,243.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.19 / $936.90 / $1,309.69	Professional		$531.19	$936.90	$1,309.69
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 $783.26 / $6,333.48 / $10,021.26	Professional		$783.26	$6,333.48	$10,021.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,782.30 / $23,592.80 / $48,999.51	Facility		$1,782.30	$23,592.80	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,769.66 / $26,544.84 / $39,817.26	Professional		$1,769.66	$26,544.84	$39,817.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,458.56 / $1,458.56 / $1,458.56	Facility		$1,458.56	$1,458.56	$1,458.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,111.66 / $6,111.66 / $6,111.66	Professional		$6,111.66	$6,111.66	$6,111.66
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 $1,218.91 / $1,966.26 / $2,439.23	Professional		$1,218.91	$1,966.26	$2,439.23