Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.70 / $637.00 / $8,229.00	Facility		$102.70	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $181.10 / $190.04	Professional		$102.70	$181.10	$190.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $4,516.00 / $5,018.00	Facility		$4,014.00	$4,516.00	$5,018.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.02 / $155.69 / $183.17	Professional		$105.02	$155.69	$183.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $4,074.91 / $41,999.58	Facility		$283.73	$4,074.91	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $273.56 / $3,591.96 / $7,493.22	Professional		$273.56	$3,591.96	$7,493.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.50 / $217.50 / $217.50	Facility		$217.50	$217.50	$217.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $905.82 / $905.82 / $905.82	Professional		$905.82	$905.82	$905.82
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.14 / $256.49 / $377.44	Professional		$169.14	$256.49	$377.44