Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.07 / $787.00 / $9,311.00	Facility		$179.07	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.07 / $315.87 / $351.46	Professional		$179.07	$315.87	$351.46
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 $401.76 / $472.67 / $529.38	Professional		$401.76	$472.67	$529.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.88 / $6,769.33 / $47,249.53	Facility		$467.88	$6,769.33	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $464.56 / $6,968.43 / $10,452.65	Professional		$464.56	$6,968.43	$10,452.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.94 / $409.94 / $409.94	Facility		$409.94	$409.94	$409.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,707.20 / $1,707.20 / $1,707.20	Professional		$1,707.20	$1,707.20	$1,707.20
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 $319.99 / $492.03 / $652.09	Professional		$319.99	$492.03	$652.09