Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.11 / $689.33 / $3,739.21	Facility		$664.11	$689.33	$3,739.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.11 / $689.33 / $840.65	Professional		$664.11	$689.33	$840.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $336.26 / $336.26 / $336.26	Facility		$336.26	$336.26	$336.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.82 / $336.26 / $336.26	Professional		$285.82	$336.26	$336.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $840.65 / $1,176.91 / $26,542.08	Facility		$840.65	$1,176.91	$26,542.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $1,050.81 / $15,482.88	Professional		$840.65	$1,050.81	$15,482.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.41 / $641.50 / $1,008.78	Facility		$546.41	$641.50	$1,008.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.56 / $1,207.51 / $4,051.93	Professional		$945.56	$1,207.51	$4,051.93
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 $353.07 / $504.39 / $924.72	Professional		$353.07	$504.39	$924.72