Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.24 / $355.84 / $2,541.48	Facility		$252.24	$355.84	$2,541.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.24 / $455.74 / $461.36	Professional		$252.24	$455.74	$461.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $49.35 / $54.39	Professional		$41.94	$49.35	$54.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $495.84 / $9,916.92 / $47,249.53	Facility		$495.84	$9,916.92	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $604.95 / $9,074.31 / $13,611.47	Professional		$604.95	$9,074.31	$13,611.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.83 / $542.83 / $542.83	Facility		$542.83	$542.83	$542.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,270.08 / $2,270.08 / $2,270.08	Professional		$2,270.08	$2,270.08	$2,270.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $430.94 / $518.73 / $672.26	Professional		$430.94	$518.73	$672.26