Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $785.65 / $785.65	Facility		$475.00	$785.65	$785.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.71 / $785.65 / $1,151.54	Professional		$775.71	$785.65	$1,151.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $1,125.00 / $1,125.00	Facility		$1,125.00	$1,125.00	$1,125.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.00 / $740.00 / $1,742.43	Professional		$555.00	$740.00	$1,742.43
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 $214.73 / $214.73 / $214.73	Facility		$214.73	$214.73	$214.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.49 / $735.78 / $1,252.00	Professional		$669.49	$735.78	$1,252.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00