Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,288.25 / $2,290.87	Facility		$776.25	$1,288.25	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $912.01	Professional		$630.96	$758.58	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $954.99 / $1,000.00	Facility		$851.14	$954.99	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $380.19	Professional		$323.59	$380.19	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $14,125.38 / $41,686.94	Facility		$1,122.02	$14,125.38	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $17,782.79	Professional		$1,047.13	$1,318.26	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,513.56 / $1,513.56	Facility		$616.60	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
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 $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $954.99	Professional		$398.11	$575.44	$954.99