Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,819.70	Facility		$616.60	$1,047.13	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $758.58	Professional		$512.86	$616.60	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $302.00	Professional		$169.82	$199.53	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $13,489.63 / $46,773.51	Facility		$758.58	$13,489.63	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $14,125.38	Professional		$812.83	$1,023.29	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,202.26 / $1,202.26	Facility		$489.78	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,630.78 / $3,630.78	Professional		$1,096.48	$3,630.78	$3,630.78
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 $316.23 / $457.09 / $758.58	Professional		$316.23	$457.09	$758.58