Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,778.28	Professional		$707.95	$870.96	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $165.96	Professional		$85.11	$93.33	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,380.38	Facility		$812.83	$1,071.52	$1,380.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,318.26	Professional		$794.33	$1,071.52	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,445.44 / $1,445.44	Facility		$851.14	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,445.44	Professional		$776.25	$1,000.00	$1,445.44