Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.88 / $637.00 / $8,229.00	Facility		$215.88	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.51 / $475.05 / $611.14	Professional		$221.51	$475.05	$611.14
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 $72.22 / $769.28 / $847.82	Professional		$72.22	$769.28	$847.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $500.82 / $7,245.87 / $47,249.53	Facility		$500.82	$7,245.87	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $497.27 / $7,458.99 / $11,188.49	Professional		$497.27	$7,458.99	$11,188.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $712.80 / $712.80 / $712.80	Facility		$712.80	$712.80	$712.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,970.08 / $2,970.08 / $2,970.08	Professional		$2,970.08	$2,970.08	$2,970.08
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.12 / $353.74 / $469.57	Professional		$227.12	$353.74	$469.57