Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.74 / $746.74 / $4,151.87	Facility		$746.74	$746.74	$4,151.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.74 / $746.74 / $774.75	Professional		$746.74	$746.74	$774.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $880.60 / $917.29 / $1,246.88	Facility		$880.60	$917.29	$1,246.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $746.74 / $777.86 / $793.42	Professional		$746.74	$777.86	$793.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,999.58 / $50,749.49 / $62,999.37	Facility		$41,999.58	$50,749.49	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $43,499.57 / $50,749.49	Professional		$793.42	$43,499.57	$50,749.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Facility		$793.42	$793.42	$793.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $793.42 / $1,185.46	Professional		$793.42	$793.42	$1,185.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $777.86 / $777.86 / $833.09	Professional		$777.86	$777.86	$833.09