Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.45 / $498.70 / $2,705.16	Facility		$480.45	$498.70	$2,705.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.72 / $486.54 / $608.16	Professional		$425.72	$486.54	$608.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.93 / $109.93 / $109.93	Facility		$109.93	$109.93	$109.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.44 / $109.93 / $109.93	Professional		$93.44	$109.93	$109.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $729.80 / $7,982.23 / $19,199.52	Facility		$729.80	$7,982.23	$19,199.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $699.40 / $851.44 / $11,279.72	Professional		$699.40	$851.44	$11,279.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.31 / $473.22 / $802.48	Facility		$395.31	$473.22	$802.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.78 / $2,931.38 / $2,931.38	Professional		$705.78	$2,931.38	$2,931.38
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 $273.68 / $364.90 / $608.16	Professional		$273.68	$364.90	$608.16