Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.75 / $787.00 / $9,311.00	Facility		$167.75	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.75 / $302.80 / $323.56	Professional		$167.75	$302.80	$323.56
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 $203.34 / $265.19 / $335.40	Professional		$203.34	$265.19	$335.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $415.02 / $6,225.47 / $48,999.51	Facility		$415.02	$6,225.47	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $427.24 / $5,486.19 / $9,612.86	Professional		$427.24	$5,486.19	$9,612.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.39 / $377.39 / $377.39	Facility		$377.39	$377.39	$377.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,571.56 / $1,571.56 / $1,571.56	Professional		$1,571.56	$1,571.56	$1,571.56
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.80 / $377.38 / $650.12	Professional		$287.80	$377.38	$650.12