Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.51 / $1,194.00 / $13,304.00	Facility		$195.51	$1,194.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.51 / $344.79 / $355.32	Professional		$195.51	$344.79	$355.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,496.00 / $10,683.00 / $11,870.00	Facility		$9,496.00	$10,683.00	$11,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.22 / $332.03 / $453.90	Professional		$282.22	$332.03	$453.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $473.03 / $6,843.79 / $47,249.53	Facility		$473.03	$6,843.79	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $469.67 / $7,045.08 / $10,567.62	Professional		$469.67	$7,045.08	$10,567.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $414.42 / $414.42 / $414.42	Facility		$414.42	$414.42	$414.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,724.36 / $1,724.36 / $1,724.36	Professional		$1,724.36	$1,724.36	$1,724.36
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 $3,000.00 / $17,439.00 / $33,762.00	Facility		$3,000.00	$17,439.00	$33,762.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $548.66 / $727.50	Professional		$356.63	$548.66	$727.50