Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,023.29 / $1,819.70	Facility		$616.60	$1,023.29	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $724.44	Professional		$501.19	$602.56	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $11,220.18 / $41,686.94	Facility		$891.25	$11,220.18	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $13,803.84	Professional		$831.76	$1,047.13	$13,803.84
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 $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$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 / $446.68 / $758.58	Professional		$316.23	$446.68	$758.58