Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.44 / $767.52 / $4,163.33	Facility		$739.44	$767.52	$4,163.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.44 / $767.52 / $936.00	Professional		$739.44	$767.52	$936.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $582.66 / $936.00 / $1,883.31	Facility		$582.66	$936.00	$1,883.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $374.40 / $800.00	Professional		$100.00	$374.40	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $1,310.40 / $1,544.40	Facility		$936.00	$1,310.40	$1,544.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,029.59 / $1,216.80 / $1,872.00	Professional		$1,029.59	$1,216.80	$1,872.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.40 / $728.30 / $1,123.20	Facility		$608.40	$728.30	$1,123.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.30 / $1,075.86 / $4,511.52	Professional		$428.30	$1,075.86	$4,511.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $514.79 / $514.79	Professional		$514.79	$514.79	$514.79
United Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $561.60 / $1,029.59	Professional		$393.12	$561.60	$1,029.59