Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,691.53 / $4,677.35	Facility		$1,445.44	$2,691.53	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $1,698.24	Professional		$1,230.27	$1,412.54	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $338.84	Professional		$288.40	$338.84	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $28,840.32 / $52,480.75	Facility		$2,290.87	$28,840.32	$52,480.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $36,307.81	Professional		$2,137.96	$2,754.23	$36,307.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,090.30 / $3,090.30	Facility		$1,258.93	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $9,332.54 / $9,332.54	Professional		$2,238.72	$9,332.54	$9,332.54
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 $812.83 / $1,047.13 / $1,737.80	Professional		$812.83	$1,047.13	$1,737.80