Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $758.58	Facility		$741.31	$741.31	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,380.38	Professional		$660.69	$870.96	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $1,659.59	Facility		$1,412.54	$1,584.89	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $933.25	Professional		$758.58	$933.25	$933.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,089.30 / $2,691.53	Facility		$1,148.15	$2,089.30	$2,691.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,454.71	Professional		$1,548.82	$1,949.84	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $2,754.23	Facility		$1,258.93	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,584.89 / $8,317.64	Professional		$912.01	$1,584.89	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,318.26	Professional		$794.33	$1,023.29	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,230.27	Facility		$1,023.29	$1,023.29	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,174.90	Professional		$512.86	$812.83	$1,174.90