Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.07 / $637.00 / $8,229.00	Facility		$179.07	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.07 / $319.76 / $553.74	Professional		$179.07	$319.76	$553.74
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 $102.12 / $252.94 / $278.77	Professional		$102.12	$252.94	$278.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $433.28 / $6,268.72 / $47,249.53	Facility		$433.28	$6,268.72	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $430.21 / $6,453.09 / $9,679.64	Professional		$430.21	$6,453.09	$9,679.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.24 / $379.24 / $379.24	Facility		$379.24	$379.24	$379.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,579.37 / $1,579.37 / $1,579.37	Professional		$1,579.37	$1,579.37	$1,579.37
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.51 / $871.82 / $1,155.91	Professional		$560.51	$871.82	$1,155.91