Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $870.96 / $1,548.82	Facility		$524.81	$870.96	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $645.65	Professional		$426.58	$512.86	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $223.87	Professional		$208.93	$208.93	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $11,481.54 / $46,773.51	Facility		$645.65	$11,481.54	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $12,022.64	Professional		$691.83	$870.96	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,023.29 / $1,023.29	Facility		$416.87	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $3,090.30 / $3,090.30	Professional		$831.76	$3,090.30	$3,090.30
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 $269.15 / $380.19 / $645.65	Professional		$269.15	$380.19	$645.65