Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $891.25 / $1,000.00	Professional		$501.19	$891.25	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $407.38	Professional		$44.67	$77.62	$407.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,318.26 / $45,708.82	Facility		$104.71	$1,318.26	$45,708.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $1,318.26 / $2,344.23	Professional		$104.71	$1,318.26	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $851.14 / $1,288.25	Professional		$309.03	$851.14	$1,288.25