Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,071.52 / $1,905.46	Facility		$645.65	$1,071.52	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $758.58	Professional		$426.58	$616.60	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $537.03	Professional		$457.09	$537.03	$537.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $11,748.98 / $41,686.94	Facility		$933.25	$11,748.98	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $14,454.40	Professional		$870.96	$1,096.48	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,258.93 / $1,258.93	Facility		$512.86	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
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 $331.13 / $467.74 / $794.33	Professional		$331.13	$467.74	$794.33