Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $125.89 / $218.78	Facility		$75.86	$125.89	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $87.10	Professional		$61.66	$74.13	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $91.20 / $95.50	Facility		$83.18	$91.20	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $794.33	Professional		$602.56	$794.33	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,348.96 / $41,686.94	Facility		$107.15	$1,348.96	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $1,698.24	Professional		$100.00	$128.82	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $147.91 / $147.91	Facility		$60.26	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
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 Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $112.20	Professional		$39.81	$67.61	$112.20