Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $1,404.00	Facility		$48.00	$48.00	$1,404.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $48.00 / $1,430.00	Professional		$38.00	$48.00	$1,430.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $962.00 / $1,326.00 / $1,765.40	Professional		$962.00	$1,326.00	$1,765.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $335.30 / $746.08 / $2,050.10	Facility		$335.30	$746.08	$2,050.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $327.36 / $645.99 / $1,057.60	Professional		$327.36	$645.99	$1,057.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,375.00 / $2,025.00	Professional		$1,000.00	$1,375.00	$2,025.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $644.98 / $644.98 / $1,350.00	Professional		$644.98	$644.98	$1,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $56.00 / $72.00	Professional		$44.00	$56.00	$72.00