Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.40 / $623.20 / $3,380.48	Facility		$600.40	$623.20	$3,380.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $608.00 / $760.00	Professional		$532.00	$608.00	$760.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $200.00	Professional		$170.00	$200.00	$200.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $9,975.00 / $23,999.41	Facility		$912.00	$9,975.00	$23,999.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $874.00 / $1,064.00 / $14,099.65	Professional		$874.00	$1,064.00	$14,099.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $591.36 / $1,002.82	Facility		$494.00	$591.36	$1,002.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $882.23 / $3,663.20 / $3,663.20	Professional		$882.23	$3,663.20	$3,663.20
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 $319.20 / $456.00 / $760.00	Professional		$319.20	$456.00	$760.00