Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.97 / $637.00 / $8,229.00	Facility		$188.97	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.97 / $337.44 / $354.46	Professional		$188.97	$337.44	$354.46
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 $342.71 / $407.09 / $503.18	Professional		$342.71	$407.09	$503.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $447.16 / $6,515.76 / $47,249.53	Facility		$447.16	$6,515.76	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $367.31 / $5,701.29 / $10,132.96	Professional		$367.31	$5,701.29	$10,132.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.41 / $426.41 / $426.41	Facility		$426.41	$426.41	$426.41
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 $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 $341.00 / $531.35 / $715.28	Professional		$341.00	$531.35	$715.28