Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.90 / $695.90 / $3,517.48	Facility		$695.90	$695.90	$3,517.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.90 / $695.90 / $722.00	Professional		$695.90	$695.90	$722.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.04 / $777.13 / $855.38	Facility		$746.04	$777.13	$855.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.80 / $148.00 / $148.00	Professional		$125.80	$148.00	$148.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $903.13 / $903.13 / $903.13	Facility		$903.13	$903.13	$903.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.58 / $838.62 / $125,998.74	Professional		$630.58	$838.62	$125,998.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $672.18 / $672.18 / $739.40	Facility		$672.18	$672.18	$739.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $1,004.32	Professional		$739.40	$739.40	$1,004.32
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 $57.20 / $85.80 / $121.55	Professional		$57.20	$85.80	$121.55