Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $717.46 / $3,740.00	Facility		$70.98	$717.46	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $129.04 / $251.34	Professional		$70.98	$129.04	$251.34
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 $5.40 / $6.36 / $7.13	Professional		$5.40	$6.36	$7.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.99 / $2,488.40 / $45,499.55	Facility		$171.99	$2,488.40	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.77 / $2,192.90 / $3,842.37	Professional		$170.77	$2,192.90	$3,842.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.22 / $153.22 / $153.22	Facility		$153.22	$153.22	$153.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.77 / $640.77 / $640.77	Professional		$640.77	$640.77	$640.77
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 Professional Modifier Low / Median / High Price $194.87 / $223.46 / $348.12	Professional		$194.87	$223.46	$348.12