Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.21 / $778.70 / $4,456.62	Facility		$750.21	$778.70	$4,456.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.70 / $840.20 / $1,118.90	Professional		$778.70	$840.20	$1,118.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $390.00 / $390.00	Facility		$390.00	$390.00	$390.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $1,000.00	Professional		$200.00	$200.00	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,141.07 / $1,331.25 / $1,331.25	Facility		$1,141.07	$1,331.25	$1,331.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,045.98 / $1,236.16 / $42,349.58	Professional		$1,045.98	$1,236.16	$42,349.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $43.60 / $1,246.89	Facility		$21.48	$43.60	$1,246.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.24 / $1,302.19 / $5,226.09	Professional		$452.24	$1,302.19	$5,226.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.09 / $561.64 / $1,178.54	Professional		$374.09	$561.64	$1,178.54