Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.50 / $725.00 / $3,224.80	Facility		$594.50	$725.00	$3,224.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.00 / $572.75 / $725.00	Professional		$493.00	$572.75	$725.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.08 / $255.08 / $255.08	Facility		$255.08	$255.08	$255.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.81 / $255.08 / $255.08	Professional		$216.81	$255.08	$255.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $9,515.62 / $22,885.92	Facility		$870.00	$9,515.62	$22,885.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $833.75 / $1,015.00 / $13,445.48	Professional		$833.75	$1,015.00	$13,445.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.25 / $564.12 / $956.64	Facility		$471.25	$564.12	$956.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.35 / $3,494.50 / $3,494.50	Professional		$841.35	$3,494.50	$3,494.50
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 $304.50 / $435.00 / $797.50	Professional		$304.50	$435.00	$797.50