Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $207.31 / $2,144.55	Facility		$207.31	$207.31	$2,144.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $145.12 / $207.31	Professional		$140.97	$145.12	$207.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.93 / $109.93 / $109.93	Facility		$109.93	$109.93	$109.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.44 / $109.93 / $109.93	Professional		$93.44	$109.93	$109.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $578.57 / $6,328.08 / $15,226.93	Facility		$578.57	$6,328.08	$15,226.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $554.46 / $675.00 / $8,945.82	Professional		$554.46	$675.00	$8,945.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.39 / $375.15 / $636.17	Facility		$313.39	$375.15	$636.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.79 / $2,323.91 / $2,323.91	Professional		$559.79	$2,323.91	$2,323.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $100.00 / $100.00	Professional		$45.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.29 / $124.39 / $207.31	Professional		$93.29	$124.39	$207.31