Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.00 / $308.92 / $8,229.00	Facility		$169.00	$308.92	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $298.02 / $312.70	Professional		$169.00	$298.02	$312.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $8,988.00 / $9,987.00	Facility		$7,990.00	$8,988.00	$9,987.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,083.41 / $2,451.08 / $2,701.34	Professional		$2,083.41	$2,451.08	$2,701.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $405.62 / $5,910.50 / $41,999.58	Facility		$405.62	$5,910.50	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $362.16 / $5,171.68 / $9,191.69	Professional		$362.16	$5,171.68	$9,191.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.90 / $357.90 / $357.90	Facility		$357.90	$357.90	$357.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,490.49 / $1,490.49 / $1,490.49	Professional		$1,490.49	$1,490.49	$1,490.49
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 Professional Modifier Low / Median / High Price $307.33 / $465.82 / $633.86	Professional		$307.33	$465.82	$633.86