Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.30 / $1,194.00 / $13,304.00	Facility		$308.30	$1,194.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.30 / $550.54 / $706.78	Professional		$308.30	$550.54	$706.78
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 $444.27 / $504.54 / $584.10	Professional		$444.27	$504.54	$584.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,132.83 / $16,385.68 / $47,249.53	Facility		$1,132.83	$16,385.68	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $930.55 / $14,443.68 / $25,670.93	Professional		$930.55	$14,443.68	$25,670.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.36 / $943.36 / $943.36	Facility		$943.36	$943.36	$943.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,434.68 / $3,434.68 / $3,434.68	Professional		$3,434.68	$3,434.68	$3,434.68
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 $564.59 / $868.55 / $1,151.24	Professional		$564.59	$868.55	$1,151.24