Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.31 / $860.00 / $3,740.00	Facility		$49.31	$860.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.31 / $87.01 / $200.55	Professional		$49.31	$87.01	$200.55
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 $118.79 / $1,718.21 / $41,999.58	Facility		$118.79	$1,718.21	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.79 / $1,514.57 / $2,672.78	Professional		$118.79	$1,514.57	$2,672.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $104.83 / $104.83	Facility		$104.83	$104.83	$104.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.55 / $436.55 / $436.55	Professional		$436.55	$436.55	$436.55
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 $85.00 / $119.00 / $170.10	Professional		$85.00	$119.00	$170.10