Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $223.87 / $389.05	Facility		$134.90	$223.87	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $158.49	Professional		$109.65	$131.83	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $162.18 / $173.78	Facility		$147.91	$162.18	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $794.33	Professional		$602.56	$794.33	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,454.71 / $41,686.94	Facility		$194.98	$2,454.71	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $3,019.95	Professional		$181.97	$229.09	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $263.03 / $263.03	Facility		$107.15	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
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 Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $204.17	Professional		$70.79	$120.23	$204.17