Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.56 / $787.00 / $9,311.00	Facility		$254.56	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.56 / $454.56 / $499.75	Professional		$254.56	$454.56	$499.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,496.00 / $10,683.00 / $11,870.00	Facility		$9,496.00	$10,683.00	$11,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.69 / $592.58 / $663.67	Professional		$503.69	$592.58	$663.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $665.32 / $9,625.95 / $47,249.53	Facility		$665.32	$9,625.95	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.60 / $9,909.06 / $14,863.59	Professional		$660.60	$9,909.06	$14,863.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.88 / $582.88 / $582.88	Facility		$582.88	$582.88	$582.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,427.54 / $2,427.54 / $2,427.54	Professional		$2,427.54	$2,427.54	$2,427.54
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 Facility Modifier Low / Median / High Price $3,000.00 / $17,439.00 / $33,762.00	Facility		$3,000.00	$17,439.00	$33,762.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.60 / $752.94 / $1,013.67	Professional		$489.60	$752.94	$1,013.67