Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.14 / $731.14 / $4,065.14	Facility		$731.14	$731.14	$4,065.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.14 / $731.14 / $758.56	Professional		$731.14	$731.14	$758.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $826.28 / $898.13 / $930.43	Facility		$826.28	$898.13	$930.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $731.14 / $761.61 / $776.84	Professional		$731.14	$761.61	$776.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,999.58 / $50,749.49 / $62,999.37	Facility		$41,999.58	$50,749.49	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $43,499.57 / $50,749.49	Professional		$776.84	$43,499.57	$50,749.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Facility		$776.84	$776.84	$776.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $1,160.69	Professional		$776.84	$776.84	$1,160.69
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 $761.61 / $761.61 / $815.68	Professional		$761.61	$761.61	$815.68