Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.42 / $419.89 / $436.69	Facility		$382.42	$419.89	$436.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.24 / $425.97 / $467.73	Professional		$382.24	$425.97	$467.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.23 / $882.29 / $927.29	Facility		$549.23	$882.29	$927.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.66 / $470.83 / $476.72	Professional		$412.66	$470.83	$476.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $661.72 / $1,228.54 / $1,413.26	Facility		$661.72	$1,228.54	$1,413.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $838.18 / $1,096.91 / $1,455.78	Professional		$838.18	$1,096.91	$1,455.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $1,033.93	Facility		$624.54	$624.54	$1,033.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $624.54 / $4,208.72	Professional		$455.91	$624.54	$4,208.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.44 / $440.17 / $598.48	Professional		$293.44	$440.17	$598.48