Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $1,778.28 / $8,511.38	Facility		$47.86	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $83.18	Professional		$33.88	$52.48	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,801.89 / $3,801.89	Facility		$3,019.95	$3,801.89	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $158.49	Professional		$107.15	$125.89	$158.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,348.96 / $46,773.51	Facility		$100.00	$1,348.96	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $1,318.26 / $2,290.87	Professional		$102.33	$1,318.26	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.44 / $38.02	Professional		$16.98	$23.44	$38.02