Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,630.27 / $8,511.38	Facility		$588.84	$2,630.27	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $912.01	Professional		$524.81	$758.58	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,912.51 / $8,912.51	Facility		$7,244.36	$8,912.51	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $707.95 / $776.25	Professional		$676.08	$707.95	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $15,135.61 / $48,977.88	Facility		$912.01	$15,135.61	$48,977.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $13,182.57 / $23,442.29	Professional		$1,047.13	$13,182.57	$23,442.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,677.35 / $10,000.00	Facility		$851.14	$4,677.35	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,659.59	Professional		$758.58	$954.99	$1,659.59