Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $562.34 / $562.34	Facility		$537.03	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $660.69	Professional		$457.09	$549.54	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $676.08 / $724.44	Facility		$616.60	$676.08	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $77.62	Professional		$66.07	$77.62	$77.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $10,000.00 / $41,686.94	Facility		$812.83	$10,000.00	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $12,589.25	Professional		$758.58	$954.99	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,096.48 / $1,096.48	Facility		$446.68	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
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 $288.40 / $407.38 / $676.08	Professional		$288.40	$407.38	$676.08