Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.65 / $787.00 / $9,311.00	Facility		$212.65	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.65 / $375.09 / $418.57	Professional		$212.65	$375.09	$418.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $5,350.00 / $5,944.00	Facility		$4,755.00	$5,350.00	$5,944.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.66 / $513.72 / $575.35	Professional		$436.66	$513.72	$575.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $556.79 / $8,055.76 / $47,249.53	Facility		$556.79	$8,055.76	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $552.85 / $8,292.69 / $12,439.04	Professional		$552.85	$8,292.69	$12,439.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.20 / $488.20 / $488.20	Facility		$488.20	$488.20	$488.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,033.08 / $2,033.08 / $2,033.08	Professional		$2,033.08	$2,033.08	$2,033.08
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 $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.11 / $476.99 / $642.04	Professional		$310.11	$476.99	$642.04