Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $524.81 / $912.01	Facility		$309.03	$524.81	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $371.54	Professional		$251.19	$302.00	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $380.19 / $398.11	Facility		$338.84	$380.19	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,258.93	Professional		$1,071.52	$1,258.93	$1,258.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $5,623.41 / $41,686.94	Facility		$446.68	$5,623.41	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $7,079.46	Professional		$416.87	$537.03	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $602.56 / $602.56	Facility		$245.47	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
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 $158.49 / $229.09 / $380.19	Professional		$158.49	$229.09	$380.19