Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $1,445.44	Facility		$501.19	$831.76	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $588.84	Professional		$407.38	$478.63	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $8,912.51 / $41,686.94	Facility		$724.44	$8,912.51	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $11,220.18	Professional		$676.08	$851.14	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $977.24 / $977.24	Facility		$398.11	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
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 $257.04 / $363.08 / $602.56	Professional		$257.04	$363.08	$602.56