Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.63 / $787.00 / $8,229.00	Facility		$491.63	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.63 / $787.21 / $975.64	Professional		$491.63	$787.21	$975.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.45 / $390.03 / $573.38	Professional		$181.45	$390.03	$573.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $712.11 / $1,003.66 / $100,236.50	Facility		$712.11	$1,003.66	$100,236.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $714.83 / $969.05 / $1,462.56	Professional		$714.83	$969.05	$1,462.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.24 / $902.24 / $902.24	Facility		$902.24	$902.24	$902.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.46 / $1,000.83 / $4,142.55	Professional		$673.46	$1,000.83	$4,142.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.70 / $100.00	Professional		$45.00	$50.70	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $591.85 / $1,215.80 / $1,882.74	Professional		$591.85	$1,215.80	$1,882.74