Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.35 / $490.29 / $2,659.51	Facility		$472.35	$490.29	$2,659.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.54 / $478.33 / $597.91	Professional		$418.54	$478.33	$597.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.20 / $538.12 / $628.40	Facility		$372.20	$538.12	$628.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $800.00 / $800.00	Professional		$600.00	$800.00	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $717.49 / $7,847.57 / $18,872.64	Facility		$717.49	$7,847.57	$18,872.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $687.60 / $837.07 / $11,087.68	Professional		$687.60	$837.07	$11,087.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.64 / $465.23 / $788.94	Facility		$388.64	$465.23	$788.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.69 / $2,881.93 / $2,881.93	Professional		$693.69	$2,881.93	$2,881.93
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 $251.12 / $358.75 / $597.91	Professional		$251.12	$358.75	$597.91