Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,818.38 / $8,511.38	Facility		$794.33	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $776.25 / $1,096.48	Professional		$489.78	$776.25	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,715.19 / $11,220.18	Facility		$6,606.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $537.03	Professional		$213.80	$389.05	$537.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,096.48 / $109,647.82	Facility		$707.95	$1,096.48	$109,647.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,148.15	Professional		$630.96	$831.76	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,288.25 / $1,288.25	Facility		$34.67	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,778.28 / $4,168.69	Professional		$707.95	$1,778.28	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $100.00	Professional		$44.67	$46.77	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $4,168.69 / $30,199.52	Facility		$407.38	$4,168.69	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,047.13 / $1,995.26	Professional		$562.34	$1,047.13	$1,995.26