Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,148.15 / $1,995.26	Facility		$691.83	$1,148.15	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $831.76	Professional		$562.34	$676.08	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $851.14	Professional		$575.44	$831.76	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $12,589.25 / $46,773.51	Facility		$831.76	$12,589.25	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $15,488.17	Professional		$891.25	$1,122.02	$15,488.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,348.96 / $1,348.96	Facility		$549.54	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $4,073.80 / $4,073.80	Professional		$1,202.26	$4,073.80	$4,073.80
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 $354.81 / $501.19 / $831.76	Professional		$354.81	$501.19	$831.76