Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.12 / $455.45 / $1,823.24	Facility		$336.12	$455.45	$1,823.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $455.45 / $455.45	Professional		$309.70	$455.45	$455.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.16 / $368.91 / $430.80	Facility		$255.16	$368.91	$430.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $80.97 / $80.97	Professional		$60.88	$80.97	$80.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $491.88 / $4,303.95 / $12,939.12	Facility		$491.88	$4,303.95	$12,939.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $471.39 / $573.86 / $11,321.73	Professional		$471.39	$573.86	$11,321.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.44 / $318.94 / $540.87	Facility		$266.44	$318.94	$540.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.53 / $1,975.72 / $1,975.72	Professional		$475.53	$1,975.72	$1,975.72
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 $191.29 / $273.27 / $455.45	Professional		$191.29	$273.27	$455.45