Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $379.04 / $560.32	Facility		$379.04	$379.04	$560.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.04 / $492.30 / $560.32	Professional		$379.04	$492.30	$560.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.41 / $724.08 / $759.37	Professional		$649.41	$724.08	$759.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.66 / $118.67 / $1,290.78	Facility		$73.66	$118.67	$1,290.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $130.94 / $1,246.27	Professional		$81.84	$130.94	$1,246.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.96 / $407.96 / $1,038.75	Facility		$407.96	$407.96	$1,038.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.77 / $407.96 / $852.71	Professional		$346.77	$407.96	$852.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $540.70	Professional		$100.00	$100.00	$540.70
United Facility/Professional Professional Modifier Low / Median / High Price $241.22 / $422.14 / $728.08	Professional		$241.22	$422.14	$728.08