Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $3,715.35	Facility		$1,258.93	$2,089.30	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,548.82	Professional		$1,023.29	$1,202.26	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $512.86	Professional		$436.52	$512.86	$512.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $22,387.21 / $46,773.51	Facility		$1,819.70	$22,387.21	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $28,840.32	Professional		$1,698.24	$2,137.96	$28,840.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,454.71 / $2,454.71	Facility		$1,000.00	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
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 $645.65 / $912.01 / $1,548.82	Professional		$645.65	$912.01	$1,548.82