Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.38 / $926.99 / $8,229.00	Facility		$511.38	$926.99	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.38 / $891.23 / $959.05	Professional		$511.38	$891.23	$959.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $4,516.00 / $5,018.00	Facility		$4,014.00	$4,516.00	$5,018.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.77 / $940.04 / $1,030.58	Professional		$713.77	$940.04	$1,030.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,035.66 / $15,091.10 / $48,999.51	Facility		$1,035.66	$15,091.10	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $830.29 / $1,664.46 / $23,302.44	Professional		$830.29	$1,664.46	$23,302.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $986.46 / $986.46 / $4,472.89	Facility		$986.46	$986.46	$4,472.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,805.78 / $3,805.78 / $3,805.78	Professional		$3,805.78	$3,805.78	$3,805.78
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 / $3,086.00 / $7,000.00	Facility		$599.00	$3,086.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $878.50 / $1,130.72 / $2,033.05	Professional		$878.50	$1,130.72	$2,033.05