Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.50 / $375.00 / $1,668.00	Facility		$307.50	$375.00	$1,668.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.50 / $300.00 / $375.00	Professional		$262.50	$300.00	$375.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $31.29 / $39.85	Professional		$26.59	$31.29	$39.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $4,921.88 / $11,836.08	Facility		$450.00	$4,921.88	$11,836.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $431.25 / $525.00 / $6,953.70	Professional		$431.25	$525.00	$6,953.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.75 / $291.79 / $494.81	Facility		$243.75	$291.79	$494.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.04 / $1,807.50 / $1,807.50	Professional		$395.04	$1,807.50	$1,807.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $225.00 / $412.50	Professional		$162.38	$225.00	$412.50