Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.40 / $787.00 / $3,740.00	Facility		$54.40	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $117.95 / $182.63	Professional		$54.40	$117.95	$182.63
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 $241.84 / $3,222.95 / $41,999.58	Facility		$241.84	$3,222.95	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $241.84 / $3,083.41 / $5,441.31	Professional		$241.84	$3,083.41	$5,441.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.02 / $213.02 / $213.02	Facility		$213.02	$213.02	$213.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.71 / $888.71 / $888.71	Professional		$888.71	$888.71	$888.71
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 $169.17 / $233.59 / $342.11	Professional		$169.17	$233.59	$342.11