Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.91 / $978.91 / $2,080.19	Facility		$978.91	$978.91	$2,080.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.91 / $978.91 / $1,015.62	Professional		$978.91	$978.91	$1,015.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $466.09 / $485.51 / $1,203.25	Facility		$466.09	$485.51	$1,203.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.71 / $609.00 / $609.00	Professional		$411.71	$609.00	$609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.40 / $148.08 / $246.80	Facility		$123.40	$148.08	$246.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $123.40 / $190.04	Professional		$123.40	$123.40	$190.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Facility		$1,040.08	$1,040.08	$1,040.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.14 / $1,040.08 / $1,452.36	Professional		$379.14	$1,040.08	$1,452.36
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 $1,019.70 / $1,019.70 / $1,019.70	Professional		$1,019.70	$1,019.70	$1,019.70