Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $977.24	Facility		$338.84	$562.34	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $398.11	Professional		$275.42	$323.59	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $407.38 / $426.58	Facility		$371.54	$407.38	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $6,025.60 / $41,686.94	Facility		$489.78	$6,025.60	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $7,585.78	Professional		$446.68	$575.44	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $660.69 / $660.69	Facility		$269.15	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
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 $177.83 / $275.42 / $457.09	Professional		$177.83	$275.42	$457.09