Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.67 / $263.33 / $8,229.00	Facility		$186.67	$263.33	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.67 / $263.33 / $333.34	Professional		$186.67	$263.33	$333.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $6,559.00 / $7,288.00	Facility		$5,830.00	$6,559.00	$7,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.49 / $499.40 / $681.03	Professional		$424.49	$499.40	$681.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $394.83 / $5,712.42 / $45,499.55	Facility		$394.83	$5,712.42	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.03 / $5,034.06 / $8,820.62	Professional		$392.03	$5,034.06	$8,820.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.70 / $395.70 / $395.70	Facility		$395.70	$395.70	$395.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,442.19 / $1,442.19 / $1,442.19	Professional		$1,442.19	$1,442.19	$1,442.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.70 / $350.83 / $543.13	Professional		$260.70	$350.83	$543.13