Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.40 / $720.00 / $3,202.56	Facility		$590.40	$720.00	$3,202.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.79 / $662.40 / $720.00	Professional		$568.79	$662.40	$720.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $228.90 / $228.90	Facility		$228.90	$228.90	$228.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.56 / $228.90 / $228.90	Professional		$194.56	$228.90	$228.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,188.00 / $41,999.58	Facility		$720.00	$1,188.00	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $792.00 / $1,008.00 / $13,355.59	Professional		$792.00	$1,008.00	$13,355.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $549.42 / $864.00	Facility		$468.00	$549.42	$864.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.86 / $1,034.05 / $3,470.40	Professional		$809.86	$1,034.05	$3,470.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $1,500.00	Professional		$100.00	$100.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $792.00	Professional		$302.39	$432.00	$792.00