Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.42 / $307.42 / $330.00	Facility		$307.42	$307.42	$330.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.99 / $307.42 / $333.47	Professional		$203.99	$307.42	$333.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $162.00 / $162.00	Facility		$162.00	$162.00	$162.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $400.00	Professional		$200.00	$200.00	$400.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,999.51 / $48,999.51 / $48,999.51	Facility		$48,999.51	$48,999.51	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42,349.58 / $42,349.58 / $42,349.58	Professional		$42,349.58	$42,349.58	$42,349.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $24.31 / $68.13	Facility		$24.31	$24.31	$68.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $317.49 / $444.37	Professional		$254.00	$317.49	$444.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00