Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.63 / $656.61 / $8,229.00	Facility		$133.63	$656.61	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $235.74 / $664.66	Professional		$133.63	$235.74	$664.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $8,114.00 / $9,015.00	Facility		$7,212.00	$8,114.00	$9,015.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $1,715.24 / $2,769.37	Professional		$50.32	$1,715.24	$2,769.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.02 / $4,673.64 / $47,249.53	Facility		$323.02	$4,673.64	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $320.74 / $4,811.10 / $7,216.65	Professional		$320.74	$4,811.10	$7,216.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.02 / $283.02 / $283.02	Facility		$283.02	$283.02	$283.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,178.68 / $1,178.68 / $1,178.68	Professional		$1,178.68	$1,178.68	$1,178.68
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $649.97 / $812.46 / $1,394.90	Professional		$649.97	$812.46	$1,394.90