Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.35 / $637.00 / $8,229.00	Facility		$143.35	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.35 / $260.26 / $378.45	Professional		$143.35	$260.26	$378.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $80.70 / $114.34	Professional		$60.33	$80.70	$114.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $344.04 / $5,160.54 / $48,999.51	Facility		$344.04	$5,160.54	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $344.04 / $4,417.79 / $7,740.81	Professional		$344.04	$4,417.79	$7,740.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.06 / $309.06 / $309.06	Facility		$309.06	$309.06	$309.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,290.94 / $1,290.94 / $1,290.94	Professional		$1,290.94	$1,290.94	$1,290.94
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 $341.55 / $405.09 / $705.31	Professional		$341.55	$405.09	$705.31