Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $630.96 / $1,122.02	Facility		$380.19	$630.96	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $562.34	Professional		$309.03	$371.54	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $2.95	Facility		$2.95	$2.95	$2.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.57 / $2.95	Professional		$2.19	$2.57	$2.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $7,079.46 / $46,773.51	Facility		$467.74	$7,079.46	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $8,511.38	Professional		$501.19	$630.96	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $741.31 / $741.31	Facility		$302.00	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $2,238.72 / $2,238.72	Professional		$660.69	$2,238.72	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $467.74	Professional		$194.98	$275.42	$467.74