Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $4,265.80	Facility		$741.31	$741.31	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $776.25	Professional		$741.31	$741.31	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $912.01 / $1,148.15	Facility		$870.96	$912.01	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $794.33 / $794.33	Professional		$389.05	$794.33	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,686.94 / $51,286.14 / $56,234.13	Facility		$41,686.94	$51,286.14	$56,234.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $51,286.14	Professional		$776.25	$776.25	$51,286.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,479.11 / $1,479.11	Facility		$812.83	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $4,168.69 / $4,168.69	Professional		$812.83	$4,168.69	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $851.14	Professional		$794.33	$794.33	$851.14