Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.26 / $9,496.00 / $11,627.00	Facility		$158.26	$9,496.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.26 / $158.26 / $161.81	Professional		$157.26	$158.26	$161.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.06 / $528.08 / $939.20	Professional		$400.06	$528.08	$939.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.09 / $2,547.91 / $13,683.86	Facility		$169.09	$2,547.91	$13,683.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.39 / $2,645.91 / $4,669.25	Professional		$176.39	$2,645.91	$4,669.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.33 / $201.75 / $327.89	Professional		$147.33	$201.75	$327.89