Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $860.00 / $3,740.00	Facility		$39.96	$860.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $71.36 / $76.26	Professional		$39.96	$71.36	$76.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.61 / $169.03 / $232.14	Professional		$83.61	$169.03	$232.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.32 / $1,282.71 / $41,999.58	Facility		$96.32	$1,282.71	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.32 / $1,236.84 / $2,167.19	Professional		$96.32	$1,236.84	$2,167.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.96 / $84.96 / $84.96	Facility		$84.96	$84.96	$84.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.93 / $353.93 / $353.93	Professional		$353.93	$353.93	$353.93
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 $74.12 / $106.65 / $143.76	Professional		$74.12	$106.65	$143.76