Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $240.00 / $510.00	Facility		$240.00	$240.00	$510.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $255.00	Professional		$240.00	$240.00	$255.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.76 / $271.63 / $475.00	Facility		$260.76	$271.63	$475.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.50 / $250.00 / $250.00	Professional		$212.50	$250.00	$250.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.47 / $67.48 / $141.01	Facility		$54.47	$67.48	$141.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $54.47 / $83.88	Professional		$46.30	$54.47	$83.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.46 / $255.00 / $381.00	Professional		$145.46	$255.00	$381.00
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 $100.00 / $250.00 / $250.00	Professional		$100.00	$250.00	$250.00