Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.69 / $787.00 / $10,647.00	Facility		$233.69	$787.00	$10,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.69 / $412.21 / $424.31	Professional		$233.69	$412.21	$424.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,350.00 / $17,446.63 / $48,983.60	Facility		$5,350.00	$17,446.63	$48,983.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.05 / $407.09 / $501.98	Professional		$336.05	$407.09	$501.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $565.33 / $8,179.18 / $47,249.53	Facility		$565.33	$8,179.18	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $561.32 / $8,419.74 / $12,629.61	Professional		$561.32	$8,419.74	$12,629.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.90 / $494.90 / $494.90	Facility		$494.90	$494.90	$494.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,062.67 / $2,062.67 / $2,062.67	Professional		$2,062.67	$2,062.67	$2,062.67
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.61 / $656.27 / $883.47	Professional		$426.61	$656.27	$883.47