Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,023.29 / $1,819.70	Facility		$616.60	$1,023.29	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $758.58	Professional		$501.19	$616.60	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $11.75	Professional		$10.72	$10.72	$11.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $13,489.63 / $46,773.51	Facility		$758.58	$13,489.63	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $13,803.84	Professional		$794.33	$1,023.29	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,202.26 / $1,202.26	Facility		$489.78	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $3,630.78 / $3,630.78	Professional		$1,071.52	$3,630.78	$3,630.78
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 $316.23 / $446.68 / $758.58	Professional		$316.23	$446.68	$758.58