Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.57 / $634.84 / $2,823.76	Facility		$520.57	$634.84	$2,823.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.39 / $507.87 / $634.84	Professional		$444.39	$507.87	$634.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.13 / $257.13 / $257.13	Facility		$257.13	$257.13	$257.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.56 / $257.13 / $257.13	Professional		$218.56	$257.13	$257.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $761.81 / $8,332.28 / $20,046.96	Facility		$761.81	$8,332.28	$20,046.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $730.07 / $888.78 / $11,777.59	Professional		$730.07	$888.78	$11,777.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.65 / $493.97 / $837.68	Facility		$412.65	$493.97	$837.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.07 / $3,059.93 / $3,059.93	Professional		$737.07	$3,059.93	$3,059.93
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 $285.68 / $380.90 / $634.84	Professional		$285.68	$380.90	$634.84