Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.47 / $737.47 / $1,090.18	Facility		$737.47	$737.47	$1,090.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.47 / $1,019.45 / $1,090.18	Professional		$737.47	$1,019.45	$1,090.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $987.25 / $1,192.22 / $1,250.33	Professional		$987.25	$1,192.22	$1,250.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.62 / $329.70 / $1,985.58	Facility		$169.62	$329.70	$1,985.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.49 / $363.13 / $2,680.53	Professional		$181.49	$363.13	$2,680.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $799.37 / $799.37 / $1,874.91	Facility		$799.37	$799.37	$1,874.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.46 / $799.37 / $1,404.02	Professional		$679.46	$799.37	$1,404.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $1,206.05	Professional		$100.00	$100.00	$1,206.05
United Facility/Professional Professional Modifier Low / Median / High Price $555.84 / $1,042.20 / $1,890.07	Professional		$555.84	$1,042.20	$1,890.07