Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.26 / $860.00 / $3,740.00	Facility		$147.26	$860.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.26 / $247.18 / $374.59	Professional		$147.26	$247.18	$374.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $3,389.00 / $3,766.00	Facility		$3,013.00	$3,389.00	$3,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.81 / $230.77 / $289.77	Professional		$134.81	$230.77	$289.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.46 / $2,683.22 / $41,999.58	Facility		$185.46	$2,683.22	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.04 / $2,347.81 / $4,381.64	Professional		$156.04	$2,347.81	$4,381.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.05 / $379.05 / $379.05	Facility		$379.05	$379.05	$379.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.45 / $1,819.45 / $1,819.45	Professional		$1,819.45	$1,819.45	$1,819.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.95 / $346.84 / $518.83	Professional		$240.95	$346.84	$518.83