Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,819.70	Facility		$616.60	$1,047.13	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $741.31	Professional		$512.86	$602.56	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $758.58 / $794.33	Facility		$691.83	$758.58	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $302.00	Professional		$257.04	$302.00	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $11,481.54 / $41,686.94	Facility		$891.25	$11,481.54	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $14,125.38	Professional		$831.76	$1,071.52	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,202.26 / $1,202.26	Facility		$489.78	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
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 Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $758.58	Professional		$316.23	$457.09	$758.58