Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,168.00 / $14,536.00	Facility		$229.09	$1,168.00	$14,536.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $409.09 / $589.23	Professional		$229.09	$409.09	$589.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $5,350.00 / $5,944.00	Facility		$4,755.00	$5,350.00	$5,944.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.88 / $531.63 / $595.41	Professional		$451.88	$531.63	$595.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $553.37 / $8,006.19 / $47,249.53	Facility		$553.37	$8,006.19	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $549.44 / $8,241.66 / $12,362.49	Professional		$549.44	$8,241.66	$12,362.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.18 / $485.18 / $485.18	Facility		$485.18	$485.18	$485.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,020.59 / $2,020.59 / $2,020.59	Professional		$2,020.59	$2,020.59	$2,020.59
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 $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $603.01 / $992.80 / $1,230.05	Professional		$603.01	$992.80	$1,230.05