Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.96 / $386.96 / $822.29	Facility		$386.96	$386.96	$822.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $386.96 / $411.15	Professional		$386.96	$386.96	$411.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $475.63 / $503.85 / $806.16	Facility		$475.63	$503.85	$806.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $427.27 / $427.27	Professional		$386.96	$427.27	$427.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $628.51 / $922.90 / $55,999.44	Facility		$628.51	$922.90	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $444.40 / $657.08 / $48,999.51	Professional		$444.40	$657.08	$48,999.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Facility		$411.15	$411.15	$411.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $483.70	Professional		$411.15	$411.15	$483.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $427.26 / $448.71	Professional		$403.08	$427.26	$448.71