Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.45 / $307.70 / $1,669.11	Facility		$296.45	$307.70	$1,669.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.68 / $300.20 / $375.25	Professional		$262.68	$300.20	$375.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.80 / $131.80 / $131.80	Facility		$131.80	$131.80	$131.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.03 / $131.80 / $131.80	Professional		$112.03	$131.80	$131.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $450.30 / $4,925.16 / $11,846.53	Facility		$450.30	$4,925.16	$11,846.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $431.54 / $525.35 / $6,959.83	Professional		$431.54	$525.35	$6,959.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.91 / $291.98 / $495.14	Facility		$243.91	$291.98	$495.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.44 / $478.60 / $1,808.71	Professional		$281.44	$478.60	$1,808.71
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 $168.86 / $225.15 / $412.78	Professional		$168.86	$225.15	$412.78