Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $787.00 / $8,229.00	Facility		$75.48	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $106.49 / $136.74	Professional		$75.48	$106.49	$136.74
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 $69.70 / $82.01 / $117.12	Professional		$69.70	$82.01	$117.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.05 / $2,710.89 / $45,499.55	Facility		$189.05	$2,710.89	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.73 / $2,710.89 / $4,066.34	Professional		$180.73	$2,710.89	$4,066.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.47 / $159.47 / $159.47	Facility		$159.47	$159.47	$159.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.74 / $665.74 / $665.74	Professional		$665.74	$665.74	$665.74
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.85 / $154.10 / $282.41	Professional		$137.85	$154.10	$282.41