Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.24 / $787.00 / $8,229.00	Facility		$109.24	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.24 / $192.67 / $212.17	Professional		$109.24	$192.67	$212.17
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 $106.34 / $125.11 / $196.42	Professional		$106.34	$125.11	$196.42
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 $262.99 / $262.99 / $262.99	Facility		$262.99	$262.99	$262.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.56 / $1,030.56 / $1,030.56	Professional		$1,030.56	$1,030.56	$1,030.56
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 $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 $199.25 / $279.12 / $389.19	Professional		$199.25	$279.12	$389.19