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 $389.05 / $467.74 / $562.34	Professional		$389.05	$467.74	$562.34
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 $234.42 / $346.74 / $371.54	Professional		$234.42	$346.74	$371.54
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 $263.03 / $2,818.38 / $2,818.38	Professional		$263.03	$2,818.38	$2,818.38
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 / $346.74 / $575.44	Professional		$245.47	$346.74	$575.44