Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $427.58 / $444.68	Facility		$300.00	$427.58	$444.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.75 / $458.94 / $573.05	Professional		$381.75	$458.94	$573.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $559.28 / $898.44 / $944.26	Facility		$559.28	$898.44	$944.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.32 / $495.68 / $538.66	Professional		$421.32	$495.68	$538.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $673.83 / $1,266.80 / $1,707.04	Facility		$673.83	$1,266.80	$1,707.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $898.44 / $1,212.89 / $1,505.18	Professional		$898.44	$1,212.89	$1,505.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.50 / $695.50 / $1,089.63	Facility		$695.50	$695.50	$1,089.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $695.50 / $4,566.95	Professional		$507.72	$695.50	$4,566.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $469.52 / $572.59 / $715.73	Professional		$469.52	$572.59	$715.73
United Facility/Professional Professional Modifier Low / Median / High Price $298.82 / $480.35 / $634.47	Professional		$298.82	$480.35	$634.47