Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.60 / $787.00 / $9,311.00	Facility		$185.60	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.60 / $331.44 / $397.55	Professional		$185.60	$331.44	$397.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $5,350.00 / $5,944.00	Facility		$4,755.00	$5,350.00	$5,944.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.96 / $411.72 / $461.11	Professional		$349.96	$411.72	$461.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $448.68 / $6,491.49 / $47,249.53	Facility		$448.68	$6,491.49	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $445.49 / $6,682.41 / $10,023.62	Professional		$445.49	$6,682.41	$10,023.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.08 / $393.08 / $393.08	Facility		$393.08	$393.08	$393.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,635.47 / $1,635.47 / $1,635.47	Professional		$1,635.47	$1,635.47	$1,635.47
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 $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.93 / $634.82 / $829.81	Professional		$406.93	$634.82	$829.81