Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $46.88 / $8,229.00	Facility		$13.60	$46.88	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $56.50 / $61.51	Professional		$33.22	$56.50	$61.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $8,114.00 / $9,015.00	Facility		$7,212.00	$8,114.00	$9,015.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.05 / $400.06 / $653.59	Professional		$340.05	$400.06	$653.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.68 / $834.56 / $47,249.53	Facility		$57.68	$834.56	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.27 / $859.11 / $1,288.67	Professional		$57.27	$859.11	$1,288.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.01 / $70.01 / $70.01	Facility		$70.01	$70.01	$70.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.41 / $631.41 / $631.41	Professional		$631.41	$631.41	$631.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $47.64 / $116.16	Professional		$30.71	$47.64	$116.16