Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.41 / $538.00 / $2,602.86	Facility		$379.41	$538.00	$2,602.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.41 / $490.51 / $771.67	Professional		$379.41	$490.51	$771.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.89 / $1,069.19 / $1,615.68	Professional		$801.89	$1,069.19	$1,615.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $943.24 / $943.24 / $943.24	Facility		$943.24	$943.24	$943.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $572.67 / $875.86 / $125,998.74	Professional		$572.67	$875.86	$125,998.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $885.45 / $885.45 / $885.45	Facility		$885.45	$885.45	$885.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.36 / $3,702.87 / $3,702.87	Professional		$495.36	$3,702.87	$3,702.87
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 $883.24 / $883.24 / $883.24	Professional		$883.24	$883.24	$883.24