Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.65 / $622.41 / $3,376.25	Facility		$599.65	$622.41	$3,376.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $607.24 / $759.05	Professional		$455.43	$607.24	$759.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.51 / $759.05 / $800.00	Facility		$472.51	$759.05	$800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $303.62 / $800.00	Professional		$100.00	$303.62	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $1,062.67 / $1,214.48	Facility		$759.05	$1,062.67	$1,214.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $948.81 / $1,275.20	Professional		$759.05	$948.81	$1,275.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.38 / $590.62 / $1,431.64	Facility		$493.38	$590.62	$1,431.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.23 / $872.26 / $3,658.62	Professional		$347.23	$872.26	$3,658.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $417.48 / $417.48 / $417.48	Professional		$417.48	$417.48	$417.48
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $481.40 / $834.96	Professional		$318.80	$481.40	$834.96