Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.02 / $432.85 / $2,347.98	Facility		$417.02	$432.85	$2,347.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.51 / $422.30 / $527.87	Professional		$369.51	$422.30	$527.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.74 / $330.74 / $330.74	Facility		$330.74	$330.74	$330.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.15 / $330.74 / $330.74	Professional		$211.15	$330.74	$330.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $633.44 / $6,928.29 / $16,666.56	Facility		$633.44	$6,928.29	$16,666.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $607.04 / $739.02 / $9,791.60	Professional		$607.04	$739.02	$9,791.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.12 / $410.74 / $696.53	Facility		$343.12	$410.74	$696.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.76 / $2,544.33 / $2,544.33	Professional		$612.76	$2,544.33	$2,544.33
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 $221.71 / $316.72 / $527.87	Professional		$221.71	$316.72	$527.87