Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.44 / $467.84 / $8,229.00	Facility		$172.44	$467.84	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.63 / $584.87 / $831.60	Professional		$331.63	$584.87	$831.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.58 / $1,699.21 / $6,559.00	Facility		$884.58	$1,699.21	$6,559.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.50 / $230.00 / $319.39	Professional		$195.50	$230.00	$319.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $653.87 / $8,169.07 / $41,999.58	Facility		$653.87	$8,169.07	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $618.62 / $7,887.38 / $13,918.91	Professional		$618.62	$7,887.38	$13,918.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.31 / $702.31 / $702.31	Facility		$702.31	$702.31	$702.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,926.41 / $2,926.41 / $2,926.41	Professional		$2,926.41	$2,926.41	$2,926.41
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 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $523.96 / $1,049.36 / $1,587.31	Professional		$523.96	$1,049.36	$1,587.31