Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.74 / $726.58 / $753.49	Facility		$612.74	$726.58	$753.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.21 / $726.58 / $755.19	Professional		$624.21	$726.58	$755.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $879.98 / $1,413.63 / $1,485.73	Facility		$879.98	$1,413.63	$1,485.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.19 / $735.52 / $735.52	Professional		$661.19	$735.52	$735.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,060.22 / $1,968.44 / $2,264.31	Facility		$1,060.22	$1,968.44	$2,264.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,342.95 / $1,757.54 / $2,332.48	Professional		$1,342.95	$1,757.54	$2,332.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.46 / $907.46 / $1,656.60	Facility		$907.46	$907.46	$1,656.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $1,025.79 / $1,413.63	Professional		$662.45	$1,025.79	$1,413.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $1,237.83	Professional		$100.00	$100.00	$1,237.83
United Facility/Professional Professional Modifier Low / Median / High Price $470.16 / $678.84 / $931.94	Professional		$470.16	$678.84	$931.94