Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.92 / $635.11 / $3,531.21	Facility		$598.92	$635.11	$3,531.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.11 / $635.11 / $658.93	Professional		$635.11	$635.11	$658.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $748.94 / $780.15 / $780.65	Facility		$748.94	$780.15	$780.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.95 / $271.70 / $279.85	Professional		$230.95	$271.70	$279.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170,098.30 / $170,098.30 / $170,098.30	Facility		$170,098.30	$170,098.30	$170,098.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $139,723.60 / $170,098.30	Professional		$674.81	$139,723.60	$170,098.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Facility		$674.81	$674.81	$674.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $674.81 / $1,008.24	Professional		$674.81	$674.81	$1,008.24
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 $661.57 / $661.57 / $708.54	Professional		$661.57	$661.57	$708.54