Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.98 / $495.98 / $2,757.65	Facility		$495.98	$495.98	$2,757.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.98 / $495.98 / $514.58	Professional		$495.98	$495.98	$514.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.00 / $459.38 / $671.05	Facility		$441.00	$459.38	$671.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.55 / $389.55 / $480.00	Professional		$389.55	$389.55	$480.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,707.04 / $47,999.52 / $62,999.37	Facility		$9,707.04	$47,999.52	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $43,499.57 / $50,749.49	Professional		$526.98	$43,499.57	$50,749.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Facility		$526.98	$526.98	$526.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $753.47	Professional		$526.98	$526.98	$753.47
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 $516.65 / $516.65 / $553.33	Professional		$516.65	$516.65	$553.33