Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.05 / $787.00 / $8,229.00	Facility		$269.05	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.05 / $461.88 / $504.99	Professional		$269.05	$461.88	$504.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $6,559.00 / $7,288.00	Facility		$5,830.00	$6,559.00	$7,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.83 / $516.34 / $689.74	Professional		$407.83	$516.34	$689.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,050.75 / $15,090.50 / $47,249.53	Facility		$1,050.75	$15,090.50	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,043.29 / $15,649.41 / $23,474.12	Professional		$1,043.29	$15,649.41	$23,474.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.13 / $678.13 / $678.13	Facility		$678.13	$678.13	$678.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,243.57 / $2,243.57 / $2,243.57	Professional		$2,243.57	$2,243.57	$2,243.57
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 $511.17 / $795.03 / $1,054.10	Professional		$511.17	$795.03	$1,054.10