Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.97 / $637.00 / $8,229.00	Facility		$124.97	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.97 / $220.44 / $248.43	Professional		$124.97	$220.44	$248.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $6,559.00 / $7,288.00	Facility		$5,830.00	$6,559.00	$7,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.67 / $252.94 / $316.74	Professional		$206.67	$252.94	$316.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $351.68 / $5,088.18 / $47,249.53	Facility		$351.68	$5,088.18	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $349.19 / $5,237.82 / $7,856.73	Professional		$349.19	$5,237.82	$7,856.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.76 / $289.76 / $289.76	Facility		$289.76	$289.76	$289.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.74 / $1,206.74 / $1,206.74	Professional		$1,206.74	$1,206.74	$1,206.74
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.66 / $348.78 / $462.48	Professional		$226.66	$348.78	$462.48