Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $787.00 / $8,229.00	Facility		$15.06	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $26.90 / $199.00	Professional		$15.06	$26.90	$199.00
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 $97.16 / $125.78 / $142.78	Professional		$97.16	$125.78	$142.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $411.18 / $48,999.51	Facility		$27.41	$411.18	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $352.00 / $616.77	Professional		$27.41	$352.00	$616.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $32.44 / $32.44	Facility		$32.44	$32.44	$32.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $171.50 / $171.50	Professional		$171.50	$171.50	$171.50
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $32.85 / $61.02	Professional		$25.86	$32.85	$61.02