Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $977.24 / $1,737.80	Facility		$588.84	$977.24	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $724.44	Professional		$478.63	$575.44	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $251.19	Professional		$229.09	$229.09	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $12,882.50 / $46,773.51	Facility		$724.44	$12,882.50	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $13,489.63	Professional		$776.25	$977.24	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,148.15 / $1,148.15	Facility		$467.74	$1,148.15	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $3,467.37 / $3,467.37	Professional		$1,023.29	$3,467.37	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $1,513.56	Professional		$100.00	$100.00	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $724.44	Professional		$302.00	$436.52	$724.44