Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.07 / $105.88 / $8,229.00	Facility		$84.07	$105.88	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $132.88 / $202.54	Professional		$84.07	$132.88	$202.54
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 $138.88 / $179.74 / $222.82	Professional		$138.88	$179.74	$222.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $267.72 / $3,872.41 / $41,999.58	Facility		$267.72	$3,872.41	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.72 / $3,413.46 / $6,023.75	Professional		$267.72	$3,413.46	$6,023.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.22 / $236.22 / $236.22	Facility		$236.22	$236.22	$236.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $983.81 / $983.81 / $983.81	Professional		$983.81	$983.81	$983.81
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.39 / $264.22 / $372.51	Professional		$194.39	$264.22	$372.51