Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.79 / $503.40 / $2,239.12	Facility		$412.79	$503.40	$2,239.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.69 / $503.40 / $503.40	Professional		$397.69	$503.40	$503.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Facility		$28.88	$28.88	$28.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $28.88 / $28.88	Professional		$24.54	$28.88	$28.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $805.44 / $41,999.58	Facility		$503.40	$805.44	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $553.74 / $704.76 / $9,335.61	Professional		$553.74	$704.76	$9,335.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $384.14 / $604.08	Facility		$327.20	$384.14	$604.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.40 / $722.75 / $2,426.39	Professional		$503.40	$722.75	$2,426.39
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 $211.43 / $302.04 / $503.40	Professional		$211.43	$302.04	$503.40