Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $787.00 / $9,311.00	Facility		$122.15	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.15 / $220.58 / $235.91	Professional		$122.15	$220.58	$235.91
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 $203.84 / $271.79 / $335.40	Professional		$203.84	$271.79	$335.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.95 / $4,544.30 / $48,999.51	Facility		$302.95	$4,544.30	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $311.86 / $4,004.67 / $7,016.94	Professional		$311.86	$4,004.67	$7,016.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.16 / $275.16 / $275.16	Facility		$275.16	$275.16	$275.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,145.96 / $1,145.96 / $1,145.96	Professional		$1,145.96	$1,145.96	$1,145.96
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.26 / $275.76 / $475.05	Professional		$210.26	$275.76	$475.05