Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $933.25 / $1,621.81	Facility		$549.54	$933.25	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $660.69	Professional		$457.09	$537.03	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $676.08 / $707.95	Facility		$602.56	$676.08	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $10,232.93 / $41,686.94	Facility		$794.33	$10,232.93	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $12,589.25	Professional		$741.31	$954.99	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,071.52 / $1,071.52	Facility		$436.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
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 $281.84 / $407.38 / $676.08	Professional		$281.84	$407.38	$676.08