Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.82 / $649.58 / $3,523.59	Facility		$625.82	$649.58	$3,523.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.82 / $649.58 / $792.17	Professional		$625.82	$649.58	$792.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.36 / $201.36 / $201.36	Facility		$201.36	$201.36	$201.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $201.36 / $201.36	Professional		$171.15	$201.36	$201.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $792.17 / $1,307.08 / $41,999.58	Facility		$792.17	$1,307.08	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $871.39 / $1,109.04 / $14,693.54	Professional		$871.39	$1,109.04	$14,693.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.91 / $604.50 / $950.60	Facility		$514.91	$604.50	$950.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.03 / $1,137.82 / $3,818.26	Professional		$891.03	$1,137.82	$3,818.26
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 $332.71 / $475.30 / $871.39	Professional		$332.71	$475.30	$871.39