Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.66 / $742.27 / $3,301.64	Facility		$608.66	$742.27	$3,301.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.59 / $593.82 / $742.27	Professional		$519.59	$593.82	$742.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.20 / $699.20 / $699.20	Facility		$699.20	$699.20	$699.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.00 / $699.20 / $715.49	Professional		$578.00	$699.20	$715.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $890.72 / $7,793.84 / $23,437.44	Facility		$890.72	$7,793.84	$23,437.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $853.61 / $1,039.18 / $20,507.75	Professional		$853.61	$1,039.18	$20,507.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.48 / $577.55 / $979.43	Facility		$482.48	$577.55	$979.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.79 / $3,577.74 / $3,577.74	Professional		$861.79	$3,577.74	$3,577.74
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 $321.39 / $445.36 / $742.27	Professional		$321.39	$445.36	$742.27