Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.08 / $860.00 / $3,740.00	Facility		$48.08	$860.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $85.86 / $375.27	Professional		$48.08	$85.86	$375.27
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 $123.45 / $1,785.65 / $41,999.58	Facility		$123.45	$1,785.65	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.45 / $1,574.01 / $2,777.67	Professional		$123.45	$1,574.01	$2,777.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.95 / $108.95 / $108.95	Facility		$108.95	$108.95	$108.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.71 / $453.71 / $453.71	Professional		$453.71	$453.71	$453.71
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 $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.53 / $124.89 / $172.86	Professional		$86.53	$124.89	$172.86