Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.65 / $622.41 / $3,376.25	Facility		$599.65	$622.41	$3,376.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.34 / $607.24 / $759.05	Professional		$531.34	$607.24	$759.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Facility		$500.00	$500.00	$500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $500.00 / $572.50	Professional		$425.00	$500.00	$572.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $665.79 / $1,062.67 / $20,223.38	Facility		$665.79	$1,062.67	$20,223.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $665.79 / $865.53 / $13,981.59	Professional		$665.79	$865.53	$13,981.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.38 / $590.62 / $1,001.56	Facility		$493.38	$590.62	$1,001.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.98 / $3,658.62 / $3,658.62	Professional		$880.98	$3,658.62	$3,658.62
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 $318.80 / $455.43 / $759.05	Professional		$318.80	$455.43	$759.05