Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $127.50	Facility		$60.00	$60.00	$127.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $62.25	Professional		$60.00	$60.00	$62.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.75 / $79.76 / $125.00	Facility		$73.75	$79.76	$125.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $119.07 / $119.07	Professional		$67.64	$119.07	$119.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,361.66 / $1,406.01 / $2,450.98	Facility		$1,361.66	$1,406.01	$2,450.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,338.37 / $1,361.66 / $2,096.96	Professional		$1,338.37	$1,361.66	$2,096.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $85.00	Facility		$63.75	$63.75	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $63.75 / $118.18	Professional		$29.66	$63.75	$118.18
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 $62.50 / $62.50 / $62.50	Professional		$62.50	$62.50	$62.50