Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.67 / $8,956.00 / $11,627.00	Facility		$177.67	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $177.67 / $189.96	Professional		$142.86	$177.67	$189.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $66.22 / $569.30	Professional		$50.94	$66.22	$569.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.77 / $1,672.44 / $11,374.89	Facility		$131.77	$1,672.44	$11,374.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.31 / $1,744.66 / $3,078.81	Professional		$116.31	$1,744.66	$3,078.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.18 / $333.62 / $556.03	Professional		$254.18	$333.62	$556.03