Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.65 / $1,241.00 / $8,229.00	Facility		$72.65	$1,241.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.65 / $129.72 / $145.08	Professional		$72.65	$129.72	$145.08
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 $153.72 / $158.33 / $177.32	Professional		$153.72	$158.33	$177.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.93 / $1,734.33 / $12,249.87	Facility		$135.93	$1,734.33	$12,249.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $203.50 / $3,121.82	Professional		$132.13	$203.50	$3,121.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.60 / $163.60 / $163.60	Facility		$163.60	$163.60	$163.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.76 / $679.76 / $679.76	Professional		$679.76	$679.76	$679.76
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 / $1,339.00 / $5,654.00	Facility		$523.00	$1,339.00	$5,654.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.58 / $193.30 / $282.76	Professional		$132.58	$193.30	$282.76