Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $154.88 / $269.15	Facility		$91.20	$154.88	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $134.90	Professional		$75.86	$91.20	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.92 / $13.80	Professional		$5.89	$6.92	$13.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,995.26 / $46,773.51	Facility		$112.20	$1,995.26	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $2,089.30	Professional		$120.23	$151.36	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $177.83 / $177.83	Facility		$72.44	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $537.03 / $537.03	Professional		$162.18	$537.03	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $112.20	Professional		$46.77	$67.61	$112.20