Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.44 / $370.95 / $4,791.25	Facility		$272.44	$370.95	$4,791.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.70 / $416.78 / $2,356.86	Professional		$324.70	$416.78	$2,356.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.61 / $450.14 / $500.66	Professional		$382.61	$450.14	$500.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.12 / $1,056.78 / $1,424.03	Facility		$562.12	$1,056.78	$1,424.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $749.49 / $1,011.81 / $1,498.98	Professional		$749.49	$1,011.81	$1,498.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.06 / $666.06 / $878.30	Facility		$666.06	$666.06	$878.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.15 / $666.06 / $3,669.76	Professional		$566.15	$666.06	$3,669.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.28 / $425.67 / $576.17	Professional		$249.28	$425.67	$576.17