Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.85 / $511.20 / $2,273.82	Facility		$403.85	$511.20	$2,273.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.85 / $470.30 / $511.20	Professional		$403.85	$470.30	$511.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.13 / $168.13 / $168.13	Facility		$168.13	$168.13	$168.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $168.13 / $168.13	Professional		$142.91	$168.13	$168.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $511.20 / $843.48 / $41,999.58	Facility		$511.20	$843.48	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.32 / $715.68 / $9,479.64	Professional		$562.32	$715.68	$9,479.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.28 / $390.10 / $613.44	Facility		$332.28	$390.10	$613.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $734.11 / $2,463.98	Professional		$575.00	$734.11	$2,463.98
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 $214.70 / $306.72 / $511.20	Professional		$214.70	$306.72	$511.20