Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.53 / $400.00 / $3,740.00	Facility		$35.53	$400.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $64.70 / $400.00	Professional		$35.53	$64.70	$400.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $128.05 / $155.66	Professional		$83.06	$128.05	$155.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.98 / $1,369.13 / $48,999.51	Facility		$82.98	$1,369.13	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.74 / $1,871.10 / $2,806.65	Professional		$124.74	$1,871.10	$2,806.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.26 / $112.26 / $112.26	Facility		$112.26	$112.26	$112.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.58 / $305.58 / $459.92	Professional		$305.58	$305.58	$459.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $115.83	Professional		$32.34	$32.34	$115.83
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 $88.36 / $114.82 / $172.89	Professional		$88.36	$114.82	$172.89