Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.60 / $477.60 / $477.60	Professional		$477.60	$477.60	$477.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.73 / $614.05 / $717.09	Facility		$424.73	$614.05	$717.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $77.30 / $77.30	Professional		$65.70	$77.30	$77.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $818.75 / $7,164.05 / $21,538.08	Facility		$818.75	$7,164.05	$21,538.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $784.63 / $955.21 / $18,845.82	Professional		$784.63	$955.21	$18,845.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.49 / $530.89 / $900.28	Facility		$443.49	$530.89	$900.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.71 / $3,288.64 / $3,288.64	Professional		$791.71	$3,288.64	$3,288.64
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 $286.56 / $409.37 / $682.29	Professional		$286.56	$409.37	$682.29