Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.65 / $622.41 / $3,376.25	Facility		$599.65	$622.41	$3,376.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.34 / $607.24 / $759.05	Professional		$531.34	$607.24	$759.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.51 / $683.15 / $797.76	Facility		$472.51	$683.15	$797.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $76.58 / $225.66	Professional		$65.09	$76.58	$225.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $910.86 / $9,962.53 / $23,968.45	Facility		$910.86	$9,962.53	$23,968.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $872.91 / $1,062.67 / $14,081.46	Professional		$872.91	$1,062.67	$14,081.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.38 / $590.62 / $1,001.56	Facility		$493.38	$590.62	$1,001.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.98 / $3,658.62 / $3,658.62	Professional		$880.98	$3,658.62	$3,658.62
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 Facility Modifier Low / Median / High Price $759.05 / $759.05 / $910.86	Facility		$759.05	$759.05	$910.86
United Facility/Professional Professional Modifier Low / Median / High Price $328.67 / $455.43 / $759.05	Professional		$328.67	$455.43	$759.05