Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.51 / $860.00 / $5,320.00	Facility		$186.51	$860.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.51 / $333.05 / $400.29	Professional		$186.51	$333.05	$400.29
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 $60.31 / $70.95 / $90.84	Professional		$60.31	$70.95	$90.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.07 / $7,943.97 / $41,999.58	Facility		$549.07	$7,943.97	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $504.90 / $7,000.62 / $12,266.42	Professional		$504.90	$7,000.62	$12,266.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.74 / $417.74 / $417.74	Facility		$417.74	$417.74	$417.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,646.42 / $1,646.42 / $1,646.42	Professional		$1,646.42	$1,646.42	$1,646.42
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.53 / $477.27 / $748.78	Professional		$353.53	$477.27	$748.78