Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.09 / $988.00 / $5,434.00	Facility		$51.09	$988.00	$5,434.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $72.75 / $92.76	Professional		$51.09	$72.75	$92.76
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 $110.86 / $1,711.92 / $48,999.51	Facility		$110.86	$1,711.92	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.13 / $1,711.92 / $2,567.88	Professional		$114.13	$1,711.92	$2,567.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.19 / $108.19 / $108.19	Facility		$108.19	$108.19	$108.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.57 / $450.57 / $450.57	Professional		$450.57	$450.57	$450.57
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 $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $81.68 / $124.54	Professional		$62.45	$81.68	$124.54