Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.03 / $622.80 / $3,378.37	Facility		$600.03	$622.80	$3,378.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.72 / $622.80 / $719.07	Professional		$455.72	$622.80	$719.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.81 / $759.53 / $1,883.31	Facility		$472.81	$759.53	$1,883.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $303.81 / $800.00	Professional		$100.00	$303.81	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $759.53 / $1,063.33 / $1,253.22	Facility		$759.53	$1,063.33	$1,253.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $835.48 / $987.39 / $1,519.06	Professional		$835.48	$987.39	$1,519.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.69 / $590.99 / $2,901.00	Facility		$493.69	$590.99	$2,901.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.56 / $872.67 / $3,660.93	Professional		$347.56	$872.67	$3,660.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $417.74 / $417.74 / $417.74	Professional		$417.74	$417.74	$417.74
United Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $328.88 / $835.48	Professional		$47.50	$328.88	$835.48