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 $368.49 / $467.92 / $584.90	Professional		$368.49	$467.92	$584.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.10 / $584.90 / $800.00	Facility		$364.10	$584.90	$800.00
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 $584.90 / $818.86 / $965.09	Facility		$584.90	$818.86	$965.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $643.39 / $760.37 / $1,169.80	Professional		$643.39	$760.37	$1,169.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $455.11 / $3,500.00	Facility		$380.19	$455.11	$3,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.36 / $701.88 / $2,819.22	Professional		$297.36	$701.88	$2,819.22
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 $245.66 / $481.40 / $802.33	Professional		$245.66	$481.40	$802.33