Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.55 / $693.94 / $3,764.23	Facility		$668.55	$693.94	$3,764.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.39 / $677.02 / $846.27	Professional		$592.39	$677.02	$846.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $677.02 / $677.02 / $677.02	Facility		$677.02	$677.02	$677.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.51 / $677.02 / $677.02	Professional		$338.51	$677.02	$677.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,015.52 / $8,885.84 / $26,715.60	Facility		$1,015.52	$8,885.84	$26,715.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $973.21 / $1,184.78 / $23,376.15	Professional		$973.21	$1,184.78	$23,376.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.08 / $658.48 / $1,116.66	Facility		$550.08	$658.48	$1,116.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.92 / $4,079.02 / $4,079.02	Professional		$981.92	$4,079.02	$4,079.02
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 $366.43 / $507.76 / $846.27	Professional		$366.43	$507.76	$846.27