Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.23 / $543.10 / $2,946.02	Facility		$523.23	$543.10	$2,946.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.62 / $529.86 / $662.32	Professional		$463.62	$529.86	$662.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,000.00 / $2,000.00	Professional		$1,500.00	$2,000.00	$2,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.78 / $8,692.95 / $20,914.93	Facility		$794.78	$8,692.95	$20,914.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $761.67 / $927.25 / $12,287.52	Professional		$761.67	$927.25	$12,287.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.51 / $515.35 / $873.94	Facility		$430.51	$515.35	$873.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $844.89 / $3,192.38	Professional		$496.74	$844.89	$3,192.38
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 $286.77 / $397.39 / $728.55	Professional		$286.77	$397.39	$728.55