Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.29 / $1,479.41 / $2,747.00	Facility		$209.29	$1,479.41	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.29 / $371.37 / $1,479.41	Professional		$209.29	$371.37	$1,479.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $6,559.00 / $7,288.00	Facility		$5,830.00	$6,559.00	$7,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.86 / $341.15 / $408.65	Professional		$255.86	$341.15	$408.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $8,333.60 / $45,499.55	Facility		$576.00	$8,333.60	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $571.91 / $7,291.90 / $12,959.99	Professional		$571.91	$7,291.90	$12,959.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $587.36 / $587.36 / $587.36	Facility		$587.36	$587.36	$587.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,460.27 / $2,460.27 / $2,460.27	Professional		$2,460.27	$2,460.27	$2,460.27
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.77 / $532.53 / $744.58	Professional		$378.77	$532.53	$744.58