Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.97 / $2,814.00 / $11,581.00	Facility		$94.97	$2,814.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.03 / $94.97 / $400.00	Professional		$64.03	$94.97	$400.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $130.44 / $220.15	Professional		$83.06	$130.44	$220.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $1,021.19 / $11,374.89	Facility		$80.45	$1,021.19	$11,374.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $1,567.37 / $2,765.96	Professional		$104.49	$1,567.37	$2,765.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.38 / $111.35 / $156.10	Professional		$82.38	$111.35	$156.10
United Facility/Professional Facility Modifier Low / Median / High Price $398.88 / $965.00 / $2,914.00	Facility		$398.88	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $109.35 / $182.60	Professional		$87.48	$109.35	$182.60