Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.00 / $492.00 / $2,668.80	Facility		$474.00	$492.00	$2,668.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $480.00 / $600.00	Professional		$420.00	$480.00	$600.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.70 / $738.70 / $738.70	Facility		$738.70	$738.70	$738.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $738.70 / $738.70	Professional		$240.00	$738.70	$738.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $6,300.00 / $18,943.91	Facility		$720.00	$6,300.00	$18,943.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $690.00 / $840.00 / $16,575.93	Professional		$690.00	$840.00	$16,575.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $466.86 / $791.70	Facility		$390.00	$466.86	$791.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.61 / $2,892.00 / $2,892.00	Professional		$696.61	$2,892.00	$2,892.00
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 $259.80 / $360.00 / $600.00	Professional		$259.80	$360.00	$600.00