Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $213.80 / $213.80	Facility		$151.36	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $338.84	Professional		$173.78	$275.42	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $467.74	Professional		$363.08	$436.52	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $4,265.80 / $12,302.69	Facility		$416.87	$4,265.80	$12,302.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $3,630.78 / $6,456.54	Professional		$363.08	$3,630.78	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $467.74 / $467.74	Facility		$87.10	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $478.63	Professional		$275.42	$323.59	$478.63