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 $326.02 / $4,716.89 / $47,249.53	Facility		$326.02	$4,716.89	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.70 / $4,855.62 / $7,283.43	Professional		$323.70	$4,855.62	$7,283.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $264.48 / $264.48	Facility		$264.48	$264.48	$264.48
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 / $280.10 / $412.58	Professional		$199.25	$280.10	$412.58