Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.26 / $341.76 / $1,853.82	Facility		$329.26	$341.76	$1,853.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.75 / $333.42 / $416.78	Professional		$291.75	$333.42	$416.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Facility		$17.32	$17.32	$17.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $17.32 / $17.32	Professional		$14.73	$17.32	$17.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $500.14 / $5,470.23 / $13,153.68	Facility		$500.14	$5,470.23	$13,153.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $479.30 / $583.49 / $7,727.79	Professional		$479.30	$583.49	$7,727.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.91 / $324.30 / $549.95	Facility		$270.91	$324.30	$549.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.45 / $2,008.88 / $2,008.88	Professional		$483.45	$2,008.88	$2,008.88
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 $175.05 / $250.07 / $416.78	Professional		$175.05	$250.07	$416.78