Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.13 / $988.00 / $8,229.00	Facility		$148.13	$988.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $254.21 / $325.25	Professional		$148.13	$254.21	$325.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.67 / $213.73 / $261.75	Professional		$181.67	$213.73	$261.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.72 / $2,064.90 / $47,249.53	Facility		$142.72	$2,064.90	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.71 / $1,819.68 / $3,188.43	Professional		$141.71	$1,819.68	$3,188.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.96 / $330.96 / $330.96	Facility		$330.96	$330.96	$330.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,234.79 / $1,234.79 / $1,234.79	Professional		$1,234.79	$1,234.79	$1,234.79
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 $59.00 / $100.00 / $3,176.00	Facility		$59.00	$100.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $399.89 / $554.74	Professional		$263.43	$399.89	$554.74