Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.92 / $1,486.00 / $8,229.00	Facility		$422.92	$1,486.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.92 / $432.97 / $584.50	Professional		$422.92	$432.97	$584.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,128.00 / $8,584.00 / $11,253.00	Facility		$4,128.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $550.36	Professional		$0.02	$0.02	$550.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $505.42 / $693.70 / $941.45	Facility		$505.42	$693.70	$941.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $495.50 / $693.70 / $1,114.88	Professional		$495.50	$693.70	$1,114.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.85 / $615.85 / $615.85	Facility		$615.85	$615.85	$615.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.21 / $714.16 / $2,550.69	Professional		$513.21	$714.16	$2,550.69
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00