Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.58 / $860.00 / $8,229.00	Facility		$208.58	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.58 / $355.66 / $787.17	Professional		$208.58	$355.66	$787.17
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 $292.81 / $344.49 / $379.67	Professional		$292.81	$344.49	$379.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $469.67 / $6,843.79 / $47,249.53	Facility		$469.67	$6,843.79	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $419.35 / $5,988.32 / $10,643.10	Professional		$419.35	$5,988.32	$10,643.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.77 / $441.77 / $441.77	Facility		$441.77	$441.77	$441.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,727.49 / $1,727.49 / $1,727.49	Professional		$1,727.49	$1,727.49	$1,727.49
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 $807.16 / $1,347.42 / $1,766.21	Professional		$807.16	$1,347.42	$1,766.21