Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.51 / $112.37 / $8,229.00	Facility		$52.51	$112.37	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.51 / $74.08 / $112.37	Professional		$52.51	$74.08	$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 $134.88 / $1,951.09 / $41,999.58	Facility		$134.88	$1,951.09	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $1,719.85 / $3,035.03	Professional		$134.88	$1,719.85	$3,035.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.68 / $118.68 / $118.68	Facility		$118.68	$118.68	$118.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.79 / $495.79 / $495.79	Professional		$495.79	$495.79	$495.79
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 $96.20 / $133.43 / $192.84	Professional		$96.20	$133.43	$192.84