Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.63 / $860.00 / $3,740.00	Facility		$133.63	$860.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $238.64 / $254.09	Professional		$133.63	$238.64	$254.09
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 $320.74 / $4,276.16 / $41,999.58	Facility		$320.74	$4,276.16	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $320.74 / $4,118.64 / $7,216.65	Professional		$320.74	$4,118.64	$7,216.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.02 / $283.02 / $283.02	Facility		$283.02	$283.02	$283.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,178.68 / $1,178.68 / $1,178.68	Professional		$1,178.68	$1,178.68	$1,178.68
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 $269.29 / $360.77 / $501.25	Professional		$269.29	$360.77	$501.25