Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $860.00 / $3,740.00	Facility		$122.15	$860.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.15 / $212.92 / $314.57	Professional		$122.15	$212.92	$314.57
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 $102.09 / $229.25 / $304.48	Professional		$102.09	$229.25	$304.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $415.80 / $6,058.80 / $45,499.55	Facility		$415.80	$6,058.80	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $341.55 / $5,301.45 / $9,422.33	Professional		$341.55	$5,301.45	$9,422.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.55 / $364.55 / $364.55	Facility		$364.55	$364.55	$364.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,526.35 / $1,526.35 / $1,526.35	Professional		$1,526.35	$1,526.35	$1,526.35
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 $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 $215.12 / $302.33 / $416.62	Professional		$215.12	$302.33	$416.62