Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.54 / $519.54 / $550.00	Facility		$519.54	$519.54	$550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.67 / $519.54 / $1,500.00	Professional		$450.67	$519.54	$1,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Facility		$300.00	$300.00	$300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.30 / $900.00	Professional		$6.30	$6.30	$900.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,999.51 / $48,999.51 / $48,999.51	Facility		$48,999.51	$48,999.51	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42,349.58 / $42,349.58 / $42,349.58	Professional		$42,349.58	$42,349.58	$42,349.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $385.72 / $385.72 / $1,081.06	Facility		$385.72	$385.72	$1,081.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $136.81 / $730.00	Professional		$109.45	$136.81	$730.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00