Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,298.39 / $6,434.36	Facility		$150.00	$1,298.39	$6,434.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.18 / $690.18 / $923.10	Professional		$690.18	$690.18	$923.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $30.00 / $30.00	Professional		$25.50	$30.00	$30.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,126.45 / $1,126.45 / $1,577.03	Facility		$1,126.45	$1,126.45	$1,577.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,168.17 / $1,295.42 / $1,734.74	Professional		$1,168.17	$1,295.42	$1,734.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.67 / $734.67 / $734.67	Facility		$734.67	$734.67	$734.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $240.52 / $240.52	Professional		$240.52	$240.52	$240.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00