Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.75 / $359.92 / $1,952.34	Facility		$346.75	$359.92	$1,952.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.75 / $359.92 / $438.93	Professional		$346.75	$359.92	$438.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,173.56 / $1,370.45	Facility		$800.00	$1,173.56	$1,370.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.76 / $800.00 / $800.00	Professional		$216.76	$800.00	$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 $294.32 / $995.05 / $1,508.52	Facility		$294.32	$995.05	$1,508.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.18 / $1,466.68 / $6,285.04	Professional		$203.18	$1,466.68	$6,285.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $241.41 / $241.41 / $241.41	Professional		$241.41	$241.41	$241.41
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $361.26 / $651.98	Professional		$252.88	$361.26	$651.98