Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.53 / $134.44 / $729.31	Facility		$129.53	$134.44	$729.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $131.16 / $163.96	Professional		$129.53	$131.16	$163.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.07 / $147.56 / $172.32	Facility		$102.07	$147.56	$172.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.00 / $800.00 / $800.00	Professional		$578.00	$800.00	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $196.75 / $2,151.98 / $5,177.89	Facility		$196.75	$2,151.98	$5,177.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $229.54 / $4,530.64	Professional		$188.55	$229.54	$4,530.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.57 / $127.58 / $216.34	Facility		$106.57	$127.58	$216.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.21 / $790.29 / $790.29	Professional		$190.21	$790.29	$790.29
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 $70.98 / $121.45 / $202.42	Professional		$70.98	$121.45	$202.42