Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.32 / $787.00 / $8,229.00	Facility		$294.32	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.32 / $525.58 / $593.03	Professional		$294.32	$525.58	$593.03
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 $29.23 / $38.65 / $47.78	Professional		$29.23	$38.65	$47.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $620.26 / $10,287.31 / $48,999.51	Facility		$620.26	$10,287.31	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.35 / $9,001.40 / $125,998.74	Professional		$630.35	$9,001.40	$125,998.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.33 / $623.33 / $623.33	Facility		$623.33	$623.33	$623.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,595.91 / $2,595.91 / $2,595.91	Professional		$2,595.91	$2,595.91	$2,595.91
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 $531.00 / $2,513.00 / $27,879.00	Facility		$531.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $563.21 / $657.08 / $1,056.39	Professional		$563.21	$657.08	$1,056.39