Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.46 / $3,282.96 / $17,673.36	Facility		$590.46	$3,282.96	$17,673.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.46 / $590.46 / $673.86	Professional		$590.46	$590.46	$673.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $535.99 / $725.31 / $831.10	Facility		$535.99	$725.31	$831.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.11 / $615.05 / $615.05	Professional		$511.11	$615.05	$615.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,220.58 / $11,956.72 / $55,999.44	Facility		$1,220.58	$11,956.72	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $678.10 / $1,002.62 / $48,999.51	Professional		$678.10	$1,002.62	$48,999.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.36 / $627.36 / $738.14	Facility		$627.36	$627.36	$738.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Professional		$627.36	$627.36	$627.36
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 $615.05 / $615.05 / $639.66	Professional		$615.05	$615.05	$639.66