Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.50 / $779.00 / $4,225.60	Facility		$750.50	$779.00	$4,225.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.00 / $760.00 / $950.00	Professional		$665.00	$760.00	$950.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.38 / $855.00 / $998.45	Facility		$591.38	$855.00	$998.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.10 / $380.00 / $380.00	Professional		$226.10	$380.00	$380.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,140.00 / $12,468.75 / $29,993.76	Facility		$1,140.00	$12,468.75	$29,993.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,092.50 / $1,330.00 / $17,621.33	Professional		$1,092.50	$1,330.00	$17,621.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $617.50 / $739.20 / $1,253.53	Facility		$617.50	$739.20	$1,253.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.47 / $4,579.00 / $4,579.00	Professional		$1,102.47	$4,579.00	$4,579.00
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 $399.00 / $570.00 / $950.00	Professional		$399.00	$570.00	$950.00