Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $637.00 / $8,229.00	Facility		$251.19	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $442.99 / $456.10	Professional		$251.19	$442.99	$456.10
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 $414.25 / $548.57 / $603.85	Professional		$414.25	$548.57	$603.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.46 / $8,778.74 / $47,249.53	Facility		$602.46	$8,778.74	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $537.91 / $7,681.39 / $13,652.22	Professional		$537.91	$7,681.39	$13,652.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $532.00 / $532.00 / $532.00	Facility		$532.00	$532.00	$532.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,213.92 / $2,213.92 / $2,213.92	Professional		$2,213.92	$2,213.92	$2,213.92
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 $448.74 / $699.12 / $926.67	Professional		$448.74	$699.12	$926.67