Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.40 / $623.20 / $3,380.48	Facility		$600.40	$623.20	$3,380.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.40 / $623.20 / $760.00	Professional		$600.40	$623.20	$760.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $200.00 / $304.00	Professional		$150.00	$200.00	$304.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $1,254.00 / $41,999.58	Facility		$760.00	$1,254.00	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $836.00 / $1,064.00 / $14,099.65	Professional		$836.00	$1,064.00	$14,099.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $579.96 / $912.00	Facility		$494.00	$579.96	$912.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $854.85 / $1,091.86 / $3,663.20	Professional		$854.85	$1,091.86	$3,663.20
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 $319.20 / $456.00 / $836.00	Professional		$319.20	$456.00	$836.00