Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $707.95 / $1,230.27	Facility		$416.87	$707.95	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $489.78	Professional		$275.42	$407.38	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $245.47	Professional		$144.54	$169.82	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $9,120.11 / $46,773.51	Facility		$512.86	$9,120.11	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $9,549.93	Professional		$549.54	$691.83	$9,549.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $812.83 / $812.83	Facility		$331.13	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $2,454.71 / $2,454.71	Professional		$741.31	$2,454.71	$2,454.71
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 $213.80 / $309.03 / $512.86	Professional		$213.80	$309.03	$512.86