Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.07 / $787.00 / $9,311.00	Facility		$138.07	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.07 / $246.55 / $255.37	Professional		$138.07	$246.55	$255.37
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 $201.73 / $265.19 / $327.78	Professional		$201.73	$265.19	$327.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.79 / $4,976.79 / $48,999.51	Facility		$331.79	$4,976.79	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $272.54 / $4,230.27 / $7,518.51	Professional		$272.54	$4,230.27	$7,518.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.37 / $292.37 / $292.37	Facility		$292.37	$292.37	$292.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,217.68 / $1,217.68 / $1,217.68	Professional		$1,217.68	$1,217.68	$1,217.68
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.15 / $300.61 / $515.27	Professional		$237.15	$300.61	$515.27