Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.08 / $490.08 / $1,041.42	Facility		$490.08	$490.08	$1,041.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.08 / $490.08 / $508.46	Professional		$490.08	$490.08	$508.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $625.00 / $1,021.00	Facility		$600.00	$625.00	$1,021.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.92 / $510.50 / $530.00	Professional		$382.92	$510.50	$530.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,013.10 / $1,215.72 / $62,999.37	Facility		$1,013.10	$1,215.72	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $750.44 / $1,114.41	Professional		$520.71	$750.44	$1,114.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Facility		$520.71	$520.71	$520.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $778.00 / $778.00	Professional		$520.71	$778.00	$778.00
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 $510.50 / $510.50 / $510.50	Professional		$510.50	$510.50	$510.50