Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $369.75 / $2,005.66	Facility		$356.22	$369.75	$2,005.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.22 / $360.73 / $450.91	Professional		$356.22	$360.73	$450.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.69 / $405.82 / $473.91	Facility		$280.69	$405.82	$473.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.37 / $180.36 / $180.36	Professional		$144.37	$180.36	$180.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $541.09 / $5,918.19 / $14,236.21	Facility		$541.09	$5,918.19	$14,236.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $518.54 / $631.27 / $12,456.68	Professional		$518.54	$631.27	$12,456.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.08 / $350.85 / $594.97	Facility		$293.08	$350.85	$594.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.50 / $2,173.39 / $2,173.39	Professional		$523.50	$2,173.39	$2,173.39
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 $189.38 / $270.55 / $450.91	Professional		$189.38	$270.55	$450.91