Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.63 / $587.63 / $4,398.18	Facility		$587.63	$587.63	$4,398.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.63 / $587.63 / $624.36	Professional		$587.63	$587.63	$624.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.29 / $971.70 / $971.70	Facility		$614.29	$971.70	$971.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $824.00 / $824.00	Professional		$800.00	$824.00	$824.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,700.64 / $43,499.57 / $55,999.44	Facility		$1,700.64	$43,499.57	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,214.74 / $1,396.96 / $47,249.53	Professional		$1,214.74	$1,396.96	$47,249.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $840.48 / $840.48	Facility		$624.36	$840.48	$840.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $816.00	Professional		$624.36	$624.36	$816.00
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 $612.11 / $612.11 / $636.59	Professional		$612.11	$612.11	$636.59