Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $787.00 / $8,229.00	Facility		$20.00	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $129.68 / $287.27	Professional		$20.00	$129.68	$287.27
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 $104.89 / $123.41 / $156.59	Professional		$104.89	$123.41	$156.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $268.32 / $4,143.09 / $48,999.51	Facility		$268.32	$4,143.09	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $276.20 / $4,143.09 / $6,259.02	Professional		$276.20	$4,143.09	$6,259.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.64 / $307.64 / $1,111.00	Facility		$307.64	$307.64	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,396.93 / $1,396.93 / $1,396.93	Professional		$1,396.93	$1,396.93	$1,396.93
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 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.86 / $219.36 / $288.33	Professional		$165.86	$219.36	$288.33