Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,288.25 / $2,290.87	Facility		$776.25	$1,288.25	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $954.99	Professional		$630.96	$776.25	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $954.99 / $1,000.00	Facility		$851.14	$954.99	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $338.84	Professional		$288.40	$338.84	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $14,454.40 / $46,773.51	Facility		$954.99	$14,454.40	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $17,782.79	Professional		$1,023.29	$1,288.25	$17,782.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,513.56 / $1,513.56	Facility		$616.60	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $4,570.88 / $4,570.88	Professional		$1,348.96	$4,570.88	$4,570.88
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 $398.11 / $575.44 / $954.99	Professional		$398.11	$575.44	$954.99