Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.77 / $738.00 / $1,037.28	Facility		$152.77	$738.00	$1,037.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $257.81 / $1,217.90	Professional		$152.77	$257.81	$1,217.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.86 / $423.88 / $472.60	Professional		$285.86	$423.88	$472.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $266.17 / $2,416.59 / $9,582.12	Facility		$266.17	$2,416.59	$9,582.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $1,362.27 / $5,413.17	Professional		$257.77	$1,362.27	$5,413.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.42 / $334.42 / $334.42	Facility		$334.42	$334.42	$334.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.41 / $1,013.41 / $1,013.41	Professional		$1,013.41	$1,013.41	$1,013.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $760.44 / $936.31 / $1,409.88	Professional		$760.44	$936.31	$1,409.88