Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.00 / $708.63 / $3,989.86	Facility		$440.00	$708.63	$3,989.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.90 / $717.60 / $843.18	Professional		$627.90	$717.60	$843.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.15 / $807.30 / $942.75	Facility		$49.15	$807.30	$942.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $49.15 / $358.80	Professional		$44.23	$49.15	$358.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $1,255.80 / $1,480.05	Facility		$897.00	$1,255.80	$1,480.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $986.70 / $1,210.95 / $1,794.00	Professional		$986.70	$1,210.95	$1,794.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.04 / $697.96 / $1,076.40	Facility		$583.04	$697.96	$1,076.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.30 / $1,030.84 / $4,323.54	Professional		$410.30	$1,030.84	$4,323.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $493.35 / $493.35 / $493.35	Professional		$493.35	$493.35	$493.35
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $538.20 / $986.70	Professional		$376.74	$538.20	$986.70