Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.89 / $1,693.44 / $9,534.73	Facility		$517.89	$1,693.44	$9,534.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,286.16 / $1,714.88 / $1,972.11	Professional		$1,286.16	$1,714.88	$1,972.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,929.24 / $2,252.92	Facility		$800.00	$1,929.24	$2,252.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.95 / $800.00 / $857.44	Professional		$685.95	$800.00	$857.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,143.60 / $3,001.04 / $3,536.94	Facility		$2,143.60	$3,001.04	$3,536.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,357.96 / $2,786.68 / $4,287.20	Professional		$2,357.96	$2,786.68	$4,287.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,393.34 / $1,667.94 / $2,572.32	Facility		$1,393.34	$1,667.94	$2,572.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.75 / $2,411.12 / $10,332.15	Professional		$980.75	$2,411.12	$10,332.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,178.98 / $1,178.98 / $1,178.98	Professional		$1,178.98	$1,178.98	$1,178.98
United Facility/Professional Professional Modifier Low / Median / High Price $361.26 / $900.31 / $2,357.96	Professional		$361.26	$900.31	$2,357.96