Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $154.88	Professional		$123.03	$123.03	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $38,904.51 / $38,904.51	Facility		$28,183.83	$38,904.51	$38,904.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46,773.51 / $48,977.88 / $51,286.14	Professional		$46,773.51	$48,977.88	$51,286.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $575.44	Professional		$295.12	$371.54	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $97.72	Professional		$72.44	$75.86	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $186.21	Professional		$83.18	$117.49	$186.21