Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $977.24 / $1,737.80	Facility		$588.84	$977.24	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $691.83	Professional		$478.63	$575.44	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $724.44 / $758.58	Facility		$602.56	$724.44	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $229.09	Professional		$194.98	$229.09	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $10,964.78 / $41,686.94	Facility		$851.14	$10,964.78	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $13,489.63	Professional		$794.33	$1,000.00	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,148.15 / $1,148.15	Facility		$467.74	$1,148.15	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
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 $302.00 / $436.52 / $724.44	Professional		$302.00	$436.52	$724.44