Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.91 / $988.00 / $8,229.00	Facility		$161.91	$988.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $278.44 / $306.02	Professional		$161.91	$278.44	$306.02
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 $73.06 / $131.87 / $175.42	Professional		$73.06	$131.87	$175.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $304.92 / $3,890.12 / $12,670.68	Facility		$304.92	$3,890.12	$12,670.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $456.44 / $7,002.21	Professional		$296.39	$456.44	$7,002.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.80 / $363.80 / $363.80	Facility		$363.80	$363.80	$363.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.12 / $1,428.12 / $1,428.12	Professional		$1,428.12	$1,428.12	$1,428.12
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 $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.85 / $408.15 / $582.88	Professional		$272.85	$408.15	$582.88