Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.17 / $1,924.00 / $9,311.00	Facility		$47.17	$1,924.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.41 / $269.05 / $363.65	Professional		$48.41	$269.05	$363.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $5,350.00 / $5,944.00	Facility		$4,755.00	$5,350.00	$5,944.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.77 / $400.18 / $501.16	Professional		$315.77	$400.18	$501.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $484.56 / $7,010.67 / $47,249.53	Facility		$484.56	$7,010.67	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $481.12 / $7,216.86 / $10,825.29	Professional		$481.12	$7,216.86	$10,825.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.15 / $424.15 / $424.15	Facility		$424.15	$424.15	$424.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,766.48 / $1,766.48 / $1,766.48	Professional		$1,766.48	$1,766.48	$1,766.48
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 $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $76.22 / $102.62	Professional		$49.53	$76.22	$102.62