Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.40 / $738.40 / $4,105.50	Facility		$738.40	$738.40	$4,105.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.40 / $738.40 / $766.09	Professional		$738.40	$738.40	$766.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.76 / $907.04 / $1,169.14	Facility		$870.76	$907.04	$1,169.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.12 / $803.00 / $803.00	Professional		$331.12	$803.00	$803.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,750.47 / $47,999.52 / $62,999.37	Facility		$7,750.47	$47,999.52	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $43,499.57 / $50,749.49	Professional		$784.55	$43,499.57	$50,749.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Facility		$784.55	$784.55	$784.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $1,117.59	Professional		$784.55	$784.55	$1,117.59
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 $769.17 / $769.17 / $823.78	Professional		$769.17	$769.17	$823.78