Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $314.88 / $1,708.03	Facility		$192.00	$314.88	$1,708.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.56 / $192.00 / $384.00	Professional		$130.56	$192.00	$384.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $33.47 / $33.47	Facility		$33.47	$33.47	$33.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $33.47 / $33.47	Professional		$28.44	$33.47	$33.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $460.80 / $5,040.00 / $12,122.29	Facility		$460.80	$5,040.00	$12,122.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $441.60 / $537.60 / $7,121.84	Professional		$441.60	$537.60	$7,121.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.60 / $298.79 / $506.69	Facility		$249.60	$298.79	$506.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.49 / $1,850.88 / $1,850.88	Professional		$445.49	$1,850.88	$1,850.88
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 $86.40 / $115.20 / $192.00	Professional		$86.40	$115.20	$192.00