Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $691.83	Professional		$467.74	$562.34	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $60.26	Professional		$51.29	$60.26	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $9,332.54 / $26,302.68	Facility		$851.14	$9,332.54	$26,302.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $12,882.50	Professional		$851.14	$1,000.00	$12,882.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $3,388.44 / $3,388.44	Professional		$812.83	$3,388.44	$3,388.44
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 $426.58 / $426.58 / $1,122.02	Professional		$426.58	$426.58	$1,122.02