Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.48 / $460.48 / $460.48	Facility		$460.48	$460.48	$460.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $460.48 / $477.75	Professional		$460.48	$460.48	$477.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $551.60 / $599.55 / $819.74	Facility		$551.60	$599.55	$819.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.26 / $498.26 / $508.43	Professional		$498.26	$498.26	$508.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $747.89 / $1,047.05 / $55,999.44	Facility		$747.89	$1,047.05	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $679.90 / $781.89 / $47,249.53	Professional		$679.90	$781.89	$47,249.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.26 / $489.26 / $508.43	Facility		$489.26	$489.26	$508.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $580.25	Professional		$508.43	$508.43	$580.25
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 $575.60 / $610.14 / $644.66	Professional		$575.60	$610.14	$644.66