Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.23 / $936.49 / $5,079.89	Facility		$902.23	$936.49	$5,079.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.44 / $913.65 / $1,142.06	Professional		$799.44	$913.65	$1,142.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,246.40 / $1,246.40 / $1,246.40	Facility		$1,246.40	$1,246.40	$1,246.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,059.44 / $1,246.40 / $1,246.40	Professional		$1,059.44	$1,246.40	$1,246.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,370.47 / $14,989.53 / $36,060.12	Facility		$1,370.47	$14,989.53	$36,060.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,313.37 / $1,598.88 / $21,185.32	Professional		$1,313.37	$1,598.88	$21,185.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $742.34 / $888.64 / $1,506.95	Facility		$742.34	$888.64	$1,506.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.55 / $1,456.89 / $5,504.73	Professional		$856.55	$1,456.89	$5,504.73
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 $494.51 / $685.24 / $1,142.06	Professional		$494.51	$685.24	$1,142.06