Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $616.60 / $1,071.52	Facility		$371.54	$616.60	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $436.52	Professional		$302.00	$363.08	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $446.68 / $478.63	Facility		$407.38	$446.68	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $6,760.83 / $41,686.94	Facility		$537.03	$6,760.83	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $8,317.64	Professional		$501.19	$630.96	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $724.44 / $724.44	Facility		$295.12	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
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 $190.55 / $269.15 / $446.68	Professional		$190.55	$269.15	$446.68