Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.79 / $503.40 / $2,239.12	Facility		$412.79	$503.40	$2,239.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.69 / $503.40 / $503.40	Professional		$397.69	$503.40	$503.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.37 / $453.06 / $529.07	Facility		$313.37	$453.06	$529.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $41.79 / $201.36	Professional		$35.52	$41.79	$201.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $805.44 / $41,999.58	Facility		$503.40	$805.44	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $553.74 / $704.76 / $9,335.61	Professional		$553.74	$704.76	$9,335.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $384.14 / $979.90	Facility		$327.20	$384.14	$979.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $656.25 / $2,426.39	Professional		$525.00	$656.25	$2,426.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $276.87	Professional		$100.00	$100.00	$276.87
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $302.04 / $553.74	Professional		$211.43	$302.04	$553.74