Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.63 / $787.00 / $8,229.00	Facility		$89.63	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $160.05 / $186.03	Professional		$89.63	$160.05	$186.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $6,559.00 / $7,288.00	Facility		$5,830.00	$6,559.00	$7,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.93 / $401.74 / $422.07	Professional		$333.93	$401.74	$422.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.98 / $3,134.26 / $48,999.51	Facility		$188.98	$3,134.26	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $192.05 / $2,742.47 / $125,998.74	Professional		$192.05	$2,742.47	$125,998.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.19 / $190.19 / $190.19	Facility		$190.19	$190.19	$190.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.02 / $792.02 / $792.02	Professional		$792.02	$792.02	$792.02
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 $531.00 / $2,513.00 / $27,879.00	Facility		$531.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.09 / $203.55 / $330.10	Professional		$177.09	$203.55	$330.10