Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.49 / $860.00 / $3,740.00	Facility		$148.49	$860.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.49 / $244.30 / $289.18	Professional		$148.49	$244.30	$289.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $5,350.00 / $5,944.00	Facility		$4,755.00	$5,350.00	$5,944.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.61 / $169.03 / $232.14	Professional		$83.61	$169.03	$232.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.70 / $4,314.99 / $41,999.58	Facility		$323.70	$4,314.99	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.70 / $4,156.76 / $7,283.43	Professional		$323.70	$4,156.76	$7,283.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.45 / $314.45 / $314.45	Facility		$314.45	$314.45	$314.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,188.03 / $1,188.03 / $1,188.03	Professional		$1,188.03	$1,188.03	$1,188.03
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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.02 / $360.77 / $490.59	Professional		$252.02	$360.77	$490.59