Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.07 / $479.62 / $2,601.64	Facility		$462.07	$479.62	$2,601.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.43 / $467.92 / $584.90	Professional		$409.43	$467.92	$584.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $288.83 / $800.00	Professional		$85.00	$288.83	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $701.88 / $7,676.82 / $18,464.05	Facility		$701.88	$7,676.82	$18,464.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $672.64 / $818.86 / $16,156.04	Professional		$672.64	$818.86	$16,156.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $455.11 / $771.79	Facility		$380.19	$455.11	$771.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.67 / $2,819.22 / $2,819.22	Professional		$678.67	$2,819.22	$2,819.22
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 $245.66 / $350.94 / $584.90	Professional		$245.66	$350.94	$584.90