Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $562.34 / $977.24	Facility		$331.13	$562.34	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $398.11	Professional		$165.96	$323.59	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $20.89	Professional		$12.30	$14.45	$20.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $6,025.60 / $41,686.94	Facility		$478.63	$6,025.60	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $7,585.78	Professional		$446.68	$575.44	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $645.65 / $645.65	Facility		$263.03	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
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 $147.91 / $147.91 / $245.47	Professional		$147.91	$147.91	$245.47