Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.33 / $787.00 / $9,311.00	Facility		$333.33	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.66 / $600.49 / $750.78	Professional		$425.66	$600.49	$750.78
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 $68.23 / $316.73 / $354.73	Professional		$68.23	$316.73	$354.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,054.19 / $15,139.91 / $47,249.53	Facility		$1,054.19	$15,139.91	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,046.71 / $14,567.28 / $23,550.98	Professional		$1,046.71	$14,567.28	$23,550.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $828.88 / $828.88 / $828.88	Facility		$828.88	$828.88	$828.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,140.04 / $3,140.04 / $3,140.04	Professional		$3,140.04	$3,140.04	$3,140.04
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 $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 $337.65 / $555.54 / $698.99	Professional		$337.65	$555.54	$698.99