Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.41 / $1,716.00 / $8,229.00	Facility		$166.41	$1,716.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $2,176.27 / $3,055.57	Professional		$146.44	$2,176.27	$3,055.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $400.80 / $2,508.16	Professional		$126.17	$400.80	$2,508.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.74 / $224.74 / $259.26	Facility		$163.74	$224.74	$259.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.61 / $256.85 / $3,406.66	Professional		$184.61	$256.85	$3,406.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.38 / $295.38 / $295.38	Facility		$295.38	$295.38	$295.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.68 / $2,364.31 / $5,338.40	Professional		$184.68	$2,364.31	$5,338.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,927.69 / $4,214.79 / $6,227.42	Professional		$2,927.69	$4,214.79	$6,227.42