Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.86 / $738.00 / $900.00	Facility		$324.86	$738.00	$900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.86 / $351.96 / $519.45	Professional		$324.86	$351.96	$519.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $706.00 / $1,000.00	Facility		$510.00	$706.00	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.12 / $434.44 / $668.13	Professional		$348.12	$434.44	$668.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.48 / $288.44 / $405.95	Facility		$85.48	$288.44	$405.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $120.69 / $449.92	Professional		$82.31	$120.69	$449.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.70 / $393.70 / $393.70	Facility		$393.70	$393.70	$393.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.37 / $633.63 / $1,101.67	Professional		$408.37	$633.63	$1,101.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $374.60	Professional		$32.34	$32.34	$374.60
United Facility/Professional Professional Modifier Low / Median / High Price $345.38 / $472.05 / $708.81	Professional		$345.38	$472.05	$708.81