Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.45 / $787.00 / $8,229.00	Facility		$124.45	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.45 / $336.21 / $944.23	Professional		$124.45	$336.21	$944.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $3,389.00 / $3,766.00	Facility		$3,013.00	$3,389.00	$3,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.40 / $149.13 / $177.16	Professional		$119.40	$149.13	$177.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $237.86 / $4,757.08 / $47,249.53	Facility		$237.86	$4,757.08	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $292.26 / $4,352.88 / $6,575.96	Professional		$292.26	$4,352.88	$6,575.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.37 / $324.37 / $324.37	Facility		$324.37	$324.37	$324.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,571.56 / $1,571.56 / $1,571.56	Professional		$1,571.56	$1,571.56	$1,571.56
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
United Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $60.45 / $91.50	Professional		$34.78	$60.45	$91.50