Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.75 / $787.00 / $9,311.00	Facility		$275.75	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.75 / $456.10 / $488.75	Professional		$275.75	$456.10	$488.75
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 $416.84 / $490.40 / $549.24	Professional		$416.84	$490.40	$549.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $607.61 / $8,790.98 / $47,249.53	Facility		$607.61	$8,790.98	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $603.29 / $9,049.53 / $13,574.30	Professional		$603.29	$9,049.53	$13,574.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $584.03 / $584.03 / $584.03	Facility		$584.03	$584.03	$584.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,217.06 / $2,217.06 / $2,217.06	Professional		$2,217.06	$2,217.06	$2,217.06
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 $500.88 / $770.22 / $1,020.78	Professional		$500.88	$770.22	$1,020.78