Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.10 / $436.71 / $452.88	Facility		$264.10	$436.71	$452.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.91 / $452.88 / $520.32	Professional		$349.91	$452.88	$520.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.91 / $849.66 / $892.99	Facility		$528.91	$849.66	$892.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.40 / $425.46 / $472.58	Professional		$397.40	$425.46	$472.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $637.25 / $1,147.04 / $1,549.98	Facility		$637.25	$1,147.04	$1,549.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $823.43 / $1,114.05 / $1,401.94	Professional		$823.43	$1,114.05	$1,401.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $454.00 / $995.70	Facility		$454.00	$454.00	$995.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $454.00 / $4,005.08	Professional		$331.42	$454.00	$4,005.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $444.02 / $541.49 / $676.86	Professional		$444.02	$541.49	$676.86
United Facility/Professional Professional Modifier Low / Median / High Price $282.58 / $420.11 / $604.12	Professional		$282.58	$420.11	$604.12