Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $2,630.27 / $8,511.38	Facility		$144.54	$2,630.27	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $234.42	Professional		$138.04	$190.55	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,011.87 / $5,011.87	Facility		$3,981.07	$5,011.87	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $181.97	Professional		$109.65	$162.18	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $4,073.80 / $46,773.51	Facility		$281.84	$4,073.80	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $3,630.78 / $6,309.57	Professional		$281.84	$3,630.78	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $363.08	Professional		$169.82	$229.09	$363.08