Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.12 / $225.36 / $1,222.42	Facility		$217.12	$225.36	$1,222.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $219.86 / $274.83	Professional		$192.38	$219.86	$274.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $219.86 / $219.86	Facility		$219.86	$219.86	$219.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $219.86 / $219.86	Professional		$109.93	$219.86	$219.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.80 / $3,607.14 / $8,680.69	Facility		$329.80	$3,607.14	$8,680.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.05 / $384.76 / $7,595.60	Professional		$316.05	$384.76	$7,595.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.64 / $213.85 / $362.64	Facility		$178.64	$213.85	$362.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.10 / $1,324.68 / $1,324.68	Professional		$319.10	$1,324.68	$1,324.68
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 $115.43 / $164.90 / $274.83	Professional		$115.43	$164.90	$274.83