Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $2,989.00 / $11,581.00	Facility		$951.00	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.42 / $543.87 / $765.32	Professional		$534.42	$543.87	$765.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $50.54 / $83.34	Professional		$32.92	$50.54	$83.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $674.43 / $8,560.04 / $17,509.16	Facility		$674.43	$8,560.04	$17,509.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $595.30 / $8,929.67 / $15,758.25	Professional		$595.30	$8,929.67	$15,758.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $2,934.00 / $6,111.00	Facility		$1,480.00	$2,934.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.27 / $668.36 / $1,292.79	Professional		$502.27	$668.36	$1,292.79