Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $794.33 / $1,380.38	Facility		$478.63	$794.33	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $676.08	Professional		$426.58	$478.63	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $575.44 / $602.56	Facility		$478.63	$575.44	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $776.25	Professional		$288.40	$457.09	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $691.83 / $812.83	Facility		$575.44	$691.83	$812.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,148.15	Professional		$575.44	$724.44	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $933.25 / $933.25	Facility		$380.19	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $3,801.89 / $3,801.89	Professional		$302.00	$3,801.89	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $467.74 / $812.83	Professional		$245.47	$467.74	$812.83