Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.50 / $615.00 / $3,336.00	Facility		$592.50	$615.00	$3,336.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.50 / $615.00 / $750.00	Professional		$592.50	$615.00	$750.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $10.73 / $10.73	Facility		$10.73	$10.73	$10.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $10.73 / $10.73	Professional		$9.11	$10.73	$10.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,237.50 / $41,999.58	Facility		$750.00	$1,237.50	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $1,050.00 / $13,913.53	Professional		$825.00	$1,050.00	$13,913.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.50 / $572.33 / $900.00	Facility		$487.50	$572.33	$900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.60 / $1,077.41 / $3,615.00	Professional		$843.60	$1,077.41	$3,615.00
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 $315.00 / $450.00 / $825.00	Professional		$315.00	$450.00	$825.00