Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $794.33 / $1,412.54	Facility		$478.63	$794.33	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $562.34	Professional		$389.05	$467.74	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $588.84 / $616.60	Facility		$524.81	$588.84	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $288.40	Professional		$245.47	$288.40	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $8,912.51 / $41,686.94	Facility		$691.83	$8,912.51	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $10,964.78	Professional		$645.65	$812.83	$10,964.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $933.25 / $933.25	Facility		$380.19	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
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 $245.47 / $354.81 / $588.84	Professional		$245.47	$354.81	$588.84