Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,819.70	Facility		$616.60	$1,047.13	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $741.31	Professional		$512.86	$602.56	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,258.93 / $20,892.96	Facility		$660.69	$1,258.93	$20,892.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $14,125.38	Professional		$660.69	$831.76	$14,125.38
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 $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
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 $316.23 / $457.09 / $758.58	Professional		$316.23	$457.09	$758.58