Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.38 / $787.00 / $9,311.00	Facility		$196.38	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.38 / $350.68 / $799.46	Professional		$196.38	$350.68	$799.46
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 $384.85 / $452.77 / $507.09	Professional		$384.85	$452.77	$507.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $474.75 / $6,868.69 / $47,249.53	Facility		$474.75	$6,868.69	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $471.38 / $7,070.70 / $10,606.05	Professional		$471.38	$7,070.70	$10,606.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.92 / $415.92 / $415.92	Facility		$415.92	$415.92	$415.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,732.16 / $1,732.16 / $1,732.16	Professional		$1,732.16	$1,732.16	$1,732.16
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 $669.99 / $1,347.02 / $1,694.67	Professional		$669.99	$1,347.02	$1,694.67