Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.21 / $988.00 / $3,740.00	Facility		$193.21	$988.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.21 / $357.21 / $988.59	Professional		$193.21	$357.21	$988.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,071.96 / $2,682.17 / $3,325.15	Professional		$2,071.96	$2,682.17	$3,325.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $461.59 / $6,676.63 / $41,999.58	Facility		$461.59	$6,676.63	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $461.59 / $5,927.36 / $10,460.06	Professional		$461.59	$5,927.36	$10,460.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.29 / $434.29 / $434.29	Facility		$434.29	$434.29	$434.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,808.56 / $1,808.56 / $1,808.56	Professional		$1,808.56	$1,808.56	$1,808.56
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 $356.58 / $506.34 / $683.28	Professional		$356.58	$506.34	$683.28