Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $800.00 / $1,700.00	Facility		$800.00	$800.00	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $830.00	Professional		$800.00	$800.00	$830.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $250.00 / $250.00	Facility		$240.00	$250.00	$250.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $212.00 / $212.00	Professional		$159.00	$212.00	$212.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,247.40 / $52,149.48 / $69,999.30	Facility		$1,247.40	$52,149.48	$69,999.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Facility		$212.00	$212.00	$212.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $900.00 / $1,290.24	Professional		$212.00	$900.00	$1,290.24
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 $212.00 / $212.00 / $212.00	Professional		$212.00	$212.00	$212.00