Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $195.18 / $195.18	Facility		$119.00	$195.18	$195.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $195.18 / $1,125.00	Professional		$110.00	$195.18	$1,125.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $21.60 / $21.60	Facility		$21.60	$21.60	$21.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.30 / $350.00	Professional		$6.30	$6.30	$350.00
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 $76.62 / $76.62 / $214.73	Facility		$76.62	$76.62	$214.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $148.68 / $182.00	Professional		$118.94	$148.68	$182.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00