Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.36 / $809.99 / $4,635.97	Facility		$780.36	$809.99	$4,635.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.36 / $833.81 / $987.79	Professional		$780.36	$833.81	$987.79
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 $1,186.68 / $1,384.46 / $1,384.46	Facility		$1,186.68	$1,384.46	$1,384.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,087.79 / $1,285.57 / $42,349.58	Professional		$1,087.79	$1,285.57	$42,349.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $45.35 / $1,296.74	Facility		$22.34	$45.35	$1,296.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.40 / $1,354.64 / $5,435.03	Professional		$470.40	$1,354.64	$5,435.03
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 $431.84 / $587.07 / $1,440.80	Professional		$431.84	$587.07	$1,440.80