Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $831.76 / $1,445.44	Facility		$489.78	$831.76	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $602.56	Professional		$407.38	$478.63	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $239.88	Professional		$204.17	$239.88	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $9,120.11 / $41,686.94	Facility		$707.95	$9,120.11	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $11,220.18	Professional		$660.69	$851.14	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $954.99	Facility		$389.05	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
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 $251.19 / $363.08 / $602.56	Professional		$251.19	$363.08	$602.56