Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $787.00 / $8,229.00	Facility		$30.22	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $53.32 / $223.72	Professional		$30.22	$53.32	$223.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $115.82 / $144.10	Professional		$74.70	$115.82	$144.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.25 / $1,595.07 / $47,249.53	Facility		$110.25	$1,595.07	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $1,405.66 / $2,480.58	Professional		$109.47	$1,405.66	$2,480.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.51 / $245.51 / $245.51	Facility		$245.51	$245.51	$245.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,749.32 / $1,749.32 / $1,749.32	Professional		$1,749.32	$1,749.32	$1,749.32
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $65.75 / $96.03	Professional		$43.46	$65.75	$96.03