Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $951.20 / $5,159.68	Facility		$306.00	$951.20	$5,159.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $916.40 / $1,160.00	Professional		$306.00	$916.40	$1,160.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $1,044.00 / $1,219.16	Facility		$9.64	$1,044.00	$1,219.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $540.00	Professional		$16.07	$16.07	$540.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,124.08 / $1,624.00 / $1,914.00	Facility		$1,124.08	$1,624.00	$1,914.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,334.00 / $1,450.00 / $2,320.00	Professional		$1,334.00	$1,450.00	$2,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.00 / $902.60 / $3,698.48	Facility		$754.00	$902.60	$3,698.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.47 / $1,226.55 / $5,591.20	Professional		$529.47	$1,226.55	$5,591.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,312.50 / $1,687.50	Professional		$1,250.00	$1,312.50	$1,687.50
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $1,160.00	Professional		$487.20	$696.00	$1,160.00