Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.09 / $1,241.00 / $8,229.00	Facility		$197.09	$1,241.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.09 / $352.43 / $392.68	Professional		$197.09	$352.43	$392.68
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 $87.04 / $157.08 / $197.30	Professional		$87.04	$157.08	$197.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.44 / $4,343.46 / $14,147.27	Facility		$340.44	$4,343.46	$14,147.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $330.93 / $509.63 / $7,818.23	Professional		$330.93	$509.63	$7,818.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.62 / $440.62 / $440.62	Facility		$440.62	$440.62	$440.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,833.48 / $1,833.48 / $1,833.48	Professional		$1,833.48	$1,833.48	$1,833.48
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 $362.16 / $531.98 / $765.31	Professional		$362.16	$531.98	$765.31