Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.84 / $787.00 / $8,229.00	Facility		$177.84	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.84 / $300.13 / $323.23	Professional		$177.84	$300.13	$323.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.16 / $146.94 / $208.19	Professional		$116.16	$146.94	$208.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.24 / $6,700.95 / $48,999.51	Facility		$427.24	$6,700.95	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $427.24 / $5,486.19 / $9,612.86	Professional		$427.24	$5,486.19	$9,612.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.98 / $376.98 / $376.98	Facility		$376.98	$376.98	$376.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,568.48 / $1,568.48 / $1,568.48	Professional		$1,568.48	$1,568.48	$1,568.48
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 $271.97 / $360.37 / $591.19	Professional		$271.97	$360.37	$591.19