Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $474.00 / $2,668.80	Facility		$301.35	$474.00	$2,668.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $480.00 / $552.00	Professional		$210.95	$480.00	$552.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.50 / $540.00 / $630.60	Facility		$373.50	$540.00	$630.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.37 / $180.36 / $180.36	Professional		$144.37	$180.36	$180.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $6,300.00 / $18,943.91	Facility		$720.00	$6,300.00	$18,943.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $690.00 / $840.00 / $16,575.93	Professional		$690.00	$840.00	$16,575.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $466.86 / $791.70	Facility		$390.00	$466.86	$791.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.61 / $2,892.00 / $2,892.00	Professional		$696.61	$2,892.00	$2,892.00
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 $180.81 / $180.81 / $301.35	Professional		$180.81	$180.81	$301.35