Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.45 / $1,439.10 / $8,673.60	Facility		$1,386.45	$1,439.10	$8,673.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,228.50 / $1,439.10 / $1,755.00	Professional		$1,228.50	$1,439.10	$1,755.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $336.26 / $336.26 / $336.26	Facility		$336.26	$336.26	$336.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.82 / $336.26 / $336.26	Professional		$285.82	$336.26	$336.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $25,593.75 / $49,140.00	Facility		$2,340.00	$25,593.75	$49,140.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,242.50 / $2,730.00 / $36,166.92	Professional		$2,242.50	$2,730.00	$36,166.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.50 / $1,517.30 / $2,573.03	Facility		$1,267.50	$1,517.30	$2,573.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,462.50 / $2,486.98 / $9,399.00	Professional		$1,462.50	$2,486.98	$9,399.00
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 $819.00 / $1,053.00 / $1,930.50	Professional		$819.00	$1,053.00	$1,930.50