Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.50 / $787.00 / $3,776.22	Facility		$90.50	$787.00	$3,776.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $164.03 / $225.00	Professional		$90.50	$164.03	$225.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $252.42	Professional		$0.02	$0.02	$252.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.35 / $3,159.15 / $45,499.55	Facility		$218.35	$3,159.15	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.80 / $2,784.00 / $4,878.09	Professional		$216.80	$2,784.00	$4,878.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.30 / $191.30 / $191.30	Facility		$191.30	$191.30	$191.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.70 / $796.70 / $796.70	Professional		$796.70	$796.70	$796.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.59 / $287.20 / $480.83	Professional		$153.59	$287.20	$480.83