Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.81 / $988.00 / $8,229.00	Facility		$232.81	$988.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.81 / $390.36 / $2,400.00	Professional		$232.81	$390.36	$2,400.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $3,389.00 / $3,766.00	Facility		$3,013.00	$3,389.00	$3,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $138.22 / $313.18	Professional		$104.89	$138.22	$313.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.29 / $10,660.95 / $48,999.51	Facility		$660.29	$10,660.95	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $679.71 / $10,195.70 / $15,402.81	Professional		$679.71	$10,195.70	$15,402.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.03 / $629.03 / $1,111.00	Facility		$629.03	$629.03	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,634.90 / $2,634.90 / $2,634.90	Professional		$2,634.90	$2,634.90	$2,634.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.77 / $482.34 / $651.54	Professional		$374.77	$482.34	$651.54