Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.11 / $312.82 / $8,229.00	Facility		$171.11	$312.82	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.11 / $301.83 / $316.64	Professional		$171.11	$301.83	$316.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $6,559.00 / $7,288.00	Facility		$5,830.00	$6,559.00	$7,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.43 / $335.80 / $370.09	Professional		$285.43	$335.80	$370.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $410.68 / $5,940.14 / $47,249.53	Facility		$410.68	$5,940.14	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $366.68 / $5,236.12 / $9,306.20	Professional		$366.68	$5,236.12	$9,306.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.78 / $362.78 / $362.78	Facility		$362.78	$362.78	$362.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,509.19 / $1,509.19 / $1,509.19	Professional		$1,509.19	$1,509.19	$1,509.19
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.95 / $474.42 / $680.43	Professional		$318.95	$474.42	$680.43