Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $864.00	Facility		$48.00	$48.00	$864.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $48.00 / $960.00	Professional		$40.00	$48.00	$960.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.00 / $816.00 / $1,086.40	Professional		$592.00	$816.00	$1,086.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.75 / $461.01 / $1,261.59	Facility		$204.75	$461.01	$1,261.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.45 / $402.90 / $650.84	Professional		$201.45	$402.90	$650.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $825.00 / $1,215.00	Professional		$600.00	$825.00	$1,215.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $387.71 / $387.71 / $810.00	Professional		$387.71	$387.71	$810.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $56.00 / $72.00	Professional		$44.00	$56.00	$72.00