Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.51 / $787.00 / $9,311.00	Facility		$125.51	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $221.35 / $239.76	Professional		$125.51	$221.35	$239.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $6,559.00 / $7,288.00	Facility		$5,830.00	$6,559.00	$7,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.99 / $252.94 / $283.27	Professional		$214.99	$252.94	$283.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $319.20 / $4,618.16 / $47,249.53	Facility		$319.20	$4,618.16	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.93 / $4,753.97 / $7,130.97	Professional		$316.93	$4,753.97	$7,130.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.67 / $279.67 / $279.67	Facility		$279.67	$279.67	$279.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.07 / $1,163.07 / $1,163.07	Professional		$1,163.07	$1,163.07	$1,163.07
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.14 / $341.07 / $465.04	Professional		$228.14	$341.07	$465.04