Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $998.19 / $1,036.08 / $5,620.16	Facility		$998.19	$1,036.08	$5,620.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $884.47 / $1,010.82 / $1,263.53	Professional		$884.47	$1,010.82	$1,263.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.49 / $7.49 / $7.49	Facility		$7.49	$7.49	$7.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $7.49 / $7.49	Professional		$6.36	$7.49	$7.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,516.24 / $16,583.83 / $39,889.81	Facility		$1,516.24	$16,583.83	$39,889.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,453.06 / $1,768.94 / $23,435.26	Professional		$1,453.06	$1,768.94	$23,435.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $821.29 / $983.15 / $1,667.22	Facility		$821.29	$983.15	$1,667.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,466.21 / $6,090.21 / $6,090.21	Professional		$1,466.21	$6,090.21	$6,090.21
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 $758.12 / $758.12 / $1,389.88	Professional		$758.12	$758.12	$1,389.88