Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $708.63 / $735.54 / $3,989.86	Facility		$708.63	$735.54	$3,989.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.63 / $735.54 / $897.00	Professional		$708.63	$735.54	$897.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $10.28 / $10.28	Facility		$10.28	$10.28	$10.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $10.28 / $10.28	Professional		$8.73	$10.28	$10.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $1,435.20 / $41,999.58	Facility		$897.00	$1,435.20	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $986.70 / $1,255.80 / $16,637.43	Professional		$986.70	$1,255.80	$16,637.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.04 / $684.50 / $1,076.40	Facility		$583.04	$684.50	$1,076.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.95 / $1,288.56 / $4,323.54	Professional		$1,008.95	$1,288.56	$4,323.54
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 $376.74 / $538.20 / $986.70	Professional		$376.74	$538.20	$986.70