Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.46 / $787.15 / $3,501.24	Facility		$645.46	$787.15	$3,501.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.01 / $629.72 / $787.15	Professional		$551.01	$629.72	$787.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $540.00 / $540.00	Facility		$540.00	$540.00	$540.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $540.00 / $540.00	Professional		$459.00	$540.00	$540.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $944.58 / $10,331.34 / $24,846.85	Facility		$944.58	$10,331.34	$24,846.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $905.22 / $1,102.01 / $21,740.99	Professional		$905.22	$1,102.01	$21,740.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.65 / $612.48 / $1,038.65	Facility		$511.65	$612.48	$1,038.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.51 / $3,794.06 / $3,794.06	Professional		$913.51	$3,794.06	$3,794.06
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 $330.60 / $472.29 / $787.15	Professional		$330.60	$472.29	$787.15