Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.13 / $637.00 / $8,229.00	Facility		$221.13	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.13 / $389.28 / $401.21	Professional		$221.13	$389.28	$401.21
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 $280.83 / $329.75 / $370.05	Professional		$280.83	$329.75	$370.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $530.32 / $7,727.52 / $47,249.53	Facility		$530.32	$7,727.52	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $435.62 / $6,761.58 / $12,017.43	Professional		$435.62	$6,761.58	$12,017.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.96 / $467.96 / $467.96	Facility		$467.96	$467.96	$467.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,948.87 / $1,948.87 / $1,948.87	Professional		$1,948.87	$1,948.87	$1,948.87
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 $326.24 / $576.65 / $813.70	Professional		$326.24	$576.65	$813.70