Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.07 / $479.62 / $2,601.64	Facility		$462.07	$479.62	$2,601.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.07 / $479.62 / $845.65	Professional		$462.07	$479.62	$845.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $811.71 / $1,303.95 / $1,883.31	Facility		$811.71	$1,303.95	$1,883.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $288.83 / $800.00	Professional		$100.00	$288.83	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,303.95 / $1,825.53 / $2,151.52	Facility		$1,303.95	$1,825.53	$2,151.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,695.14 / $2,607.90	Professional		$1,303.95	$1,695.14	$2,607.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.28 / $995.05 / $1,508.52	Facility		$392.28	$995.05	$1,508.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.80 / $1,466.68 / $6,285.04	Professional		$270.80	$1,466.68	$6,285.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $321.70 / $321.70 / $321.70	Professional		$321.70	$321.70	$321.70
United Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $430.63 / $843.63	Professional		$350.94	$430.63	$843.63