Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.65 / $787.00 / $8,229.00	Facility		$139.65	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.65 / $246.31 / $269.31	Professional		$139.65	$246.31	$269.31
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 $125.15 / $147.24 / $166.67	Professional		$125.15	$147.24	$166.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $358.49 / $5,186.70 / $47,249.53	Facility		$358.49	$5,186.70	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $355.95 / $5,339.25 / $8,008.88	Professional		$355.95	$5,339.25	$8,008.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.10 / $314.10 / $314.10	Facility		$314.10	$314.10	$314.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,309.64 / $1,309.64 / $1,309.64	Professional		$1,309.64	$1,309.64	$1,309.64
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 $268.60 / $377.00 / $555.30	Professional		$268.60	$377.00	$555.30