Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.59 / $416.00 / $3,740.00	Facility		$153.59	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.32 / $221.94 / $291.11	Professional		$157.32	$221.94	$291.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $3,389.00 / $3,766.00	Facility		$3,013.00	$3,389.00	$3,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $500.00 / $525.30	Professional		$425.00	$500.00	$525.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $400.21 / $6,179.67 / $48,999.51	Facility		$400.21	$6,179.67	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $6,179.67 / $9,269.51	Professional		$411.98	$6,179.67	$9,269.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.25 / $323.25 / $323.25	Facility		$323.25	$323.25	$323.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.01 / $1,135.01 / $1,135.01	Professional		$1,135.01	$1,135.01	$1,135.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $2,525.00	Facility		$391.00	$950.00	$2,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.12 / $241.10 / $546.89	Professional		$150.12	$241.10	$546.89