Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $416.00 / $8,229.00	Facility		$34.61	$416.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $48.84 / $83.20	Professional		$34.61	$48.84	$83.20
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 $97.18 / $125.78 / $161.99	Professional		$97.18	$125.78	$161.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.65 / $1,422.53 / $41,999.58	Facility		$102.65	$1,422.53	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $1,318.11 / $2,309.58	Professional		$102.65	$1,318.11	$2,309.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.95 / $98.95 / $98.95	Facility		$98.95	$98.95	$98.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.71 / $414.71 / $414.71	Professional		$414.71	$414.71	$414.71
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $25.74 / $38.04	Professional		$18.57	$25.74	$38.04