Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.58 / $637.00 / $8,229.00	Facility		$91.58	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $163.61 / $218.80	Professional		$91.58	$163.61	$218.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $67.26 / $95.29	Professional		$50.27	$67.26	$95.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.18 / $2,972.76 / $48,999.51	Facility		$198.18	$2,972.76	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.18 / $2,544.89 / $4,459.14	Professional		$198.18	$2,544.89	$4,459.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.85 / $196.85 / $196.85	Facility		$196.85	$196.85	$196.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.68 / $743.68 / $743.68	Professional		$743.68	$743.68	$743.68
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 $208.43 / $234.25 / $461.11	Professional		$208.43	$234.25	$461.11