Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $977.24 / $1,698.24	Facility		$588.84	$977.24	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $707.95	Professional		$478.63	$575.44	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $9.33	Professional		$8.91	$8.91	$9.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $10,715.19 / $46,773.51	Facility		$707.95	$10,715.19	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $13,182.57	Professional		$758.58	$954.99	$13,182.57
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 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $707.95	Professional		$302.00	$426.58	$707.95