Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.81 / $738.00 / $1,037.28	Facility		$191.81	$738.00	$1,037.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.81 / $342.52 / $1,037.28	Professional		$191.81	$342.52	$1,037.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $706.00 / $1,061.00	Facility		$510.00	$706.00	$1,061.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.86 / $423.88 / $472.60	Professional		$285.86	$423.88	$472.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $339.37 / $3,081.19 / $12,217.32	Facility		$339.37	$3,081.19	$12,217.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $345.09 / $1,870.83 / $6,901.86	Professional		$345.09	$1,870.83	$6,901.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.80 / $419.80 / $419.80	Facility		$419.80	$419.80	$419.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,755.54 / $1,755.54 / $1,755.54	Professional		$1,755.54	$1,755.54	$1,755.54
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 $342.82 / $401.54 / $568.41	Professional		$342.82	$401.54	$568.41