Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.21 / $602.70 / $2,680.81	Facility		$494.21	$602.70	$2,680.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.89 / $482.16 / $602.70	Professional		$421.89	$482.16	$602.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.08 / $241.08 / $241.08	Facility		$241.08	$241.08	$241.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $241.08 / $241.08	Professional		$120.54	$241.08	$241.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $723.24 / $7,910.43 / $19,025.65	Facility		$723.24	$7,910.43	$19,025.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $693.11 / $843.78 / $16,647.43	Professional		$693.11	$843.78	$16,647.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.76 / $468.96 / $795.27	Facility		$391.76	$468.96	$795.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.53 / $2,905.01 / $2,905.01	Professional		$699.53	$2,905.01	$2,905.01
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 $253.13 / $361.62 / $662.97	Professional		$253.13	$361.62	$662.97