Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.57 / $398.57 / $398.57	Facility		$398.57	$398.57	$398.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.54 / $653.54 / $653.54	Professional		$653.54	$653.54	$653.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.28 / $438.38 / $637.55	Professional		$367.28	$438.38	$637.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $369.59 / $507.28 / $585.17	Facility		$369.59	$507.28	$585.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.69 / $507.28 / $724.68	Professional		$416.69	$507.28	$724.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.97 / $578.97 / $578.97	Professional		$578.97	$578.97	$578.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $392.54 / $564.87 / $792.80	Professional		$392.54	$564.87	$792.80