Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.52 / $73.80 / $8,229.00	Facility		$40.52	$73.80	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $73.26 / $1,864.47	Professional		$40.52	$73.26	$1,864.47
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 $633.71 / $633.71 / $698.41	Professional		$633.71	$633.71	$698.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,269.85 / $12,249.87 / $68,946.69	Facility		$2,269.85	$12,249.87	$68,946.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,269.85 / $3,495.57 / $53,625.21	Professional		$2,269.85	$3,495.57	$53,625.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,209.59 / $2,209.59 / $2,209.59	Facility		$2,209.59	$2,209.59	$2,209.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,261.04 / $9,261.04 / $9,261.04	Professional		$9,261.04	$9,261.04	$9,261.04
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 $78.87 / $120.42 / $162.11	Professional		$78.87	$120.42	$162.11