Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.27 / $112.37 / $8,229.00	Facility		$27.27	$112.37	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $73.31 / $112.37	Professional		$27.27	$73.31	$112.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.84 / $179.74 / $222.82	Professional		$138.84	$179.74	$222.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.24 / $1,927.19 / $41,999.58	Facility		$133.24	$1,927.19	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.24 / $1,698.78 / $2,997.86	Professional		$133.24	$1,698.78	$2,997.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.94 / $117.94 / $117.94	Facility		$117.94	$117.94	$117.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.57 / $489.57 / $489.57	Professional		$489.57	$489.57	$489.57
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 $93.21 / $131.59 / $190.75	Professional		$93.21	$131.59	$190.75