Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.45 / $628.00 / $3,491.68	Facility		$482.45	$628.00	$3,491.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.45 / $628.00 / $839.08	Professional		$482.45	$628.00	$839.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.70 / $753.92 / $753.92	Professional		$495.70	$753.92	$753.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,265.32 / $1,314.38 / $1,330.25	Facility		$1,265.32	$1,314.38	$1,330.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $883.46 / $1,174.94 / $125,998.74	Professional		$883.46	$1,174.94	$125,998.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.07 / $876.07 / $1,185.14	Facility		$876.07	$876.07	$1,185.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.37 / $876.07 / $4,967.30	Professional		$805.37	$876.07	$4,967.30
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 $886.96 / $886.96 / $886.96	Professional		$886.96	$886.96	$886.96