Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.15 / $787.00 / $8,229.00	Facility		$186.15	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.15 / $332.41 / $425.74	Professional		$186.15	$332.41	$425.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $4,516.00 / $5,018.00	Facility		$4,014.00	$4,516.00	$5,018.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.98 / $368.44 / $461.40	Professional		$293.98	$368.44	$461.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $449.95 / $6,509.84 / $47,249.53	Facility		$449.95	$6,509.84	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.75 / $6,701.31 / $10,051.96	Professional		$446.75	$6,701.31	$10,051.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.84 / $393.84 / $393.84	Facility		$393.84	$393.84	$393.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,643.28 / $1,643.28 / $1,643.28	Professional		$1,643.28	$1,643.28	$1,643.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.77 / $670.29 / $888.70	Professional		$435.77	$670.29	$888.70