Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $660.69 / $1,148.15	Facility		$398.11	$660.69	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $380.19 / $467.74	Professional		$144.54	$380.19	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $109.65	Professional		$93.33	$109.65	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $7,244.36 / $41,686.94	Facility		$575.44	$7,244.36	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $8,912.51	Professional		$524.81	$676.08	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $776.25 / $776.25	Facility		$316.23	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
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 $123.03 / $123.03 / $208.93	Professional		$123.03	$123.03	$208.93