Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $691.83 / $1,202.26	Facility		$407.38	$691.83	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $489.78	Professional		$338.84	$407.38	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $28.84	Professional		$24.55	$28.84	$28.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $7,585.78 / $46,773.51	Facility		$501.19	$7,585.78	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $9,332.54	Professional		$537.03	$676.08	$9,332.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $812.83 / $812.83	Facility		$323.59	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $2,398.83 / $2,398.83	Professional		$575.44	$2,398.83	$2,398.83
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 $213.80 / $302.00 / $501.19	Professional		$213.80	$302.00	$501.19