Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.99 / $1,194.00 / $13,304.00	Facility		$206.99	$1,194.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.99 / $356.29 / $387.94	Professional		$206.99	$356.29	$387.94
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 $292.48 / $344.10 / $468.97	Professional		$292.48	$344.10	$468.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $473.89 / $6,856.24 / $47,249.53	Facility		$473.89	$6,856.24	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $470.53 / $7,057.89 / $10,586.84	Professional		$470.53	$7,057.89	$10,586.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $438.00 / $438.00	Facility		$438.00	$438.00	$438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.62 / $1,730.62 / $1,730.62	Professional		$1,730.62	$1,730.62	$1,730.62
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 $397.08 / $610.79 / $822.37	Professional		$397.08	$610.79	$822.37