Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.44 / $860.00 / $3,740.00	Facility		$48.44	$860.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $85.38 / $92.09	Professional		$48.44	$85.38	$92.09
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 $30.98 / $40.98 / $52.07	Professional		$30.98	$40.98	$52.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.11 / $1,694.43 / $45,499.55	Facility		$117.11	$1,694.43	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $1,493.21 / $2,616.39	Professional		$116.28	$1,493.21	$2,616.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.58 / $102.58 / $102.58	Facility		$102.58	$102.58	$102.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.20 / $427.20 / $427.20	Professional		$427.20	$427.20	$427.20
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 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $124.73 / $183.73	Professional		$88.41	$124.73	$183.73