Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $851.14 / $851.14	Facility		$831.76	$851.14	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $912.01 / $1,148.15	Professional		$812.83	$912.01	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $371.54	Professional		$239.88	$281.84	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $977.24 / $1,380.38	Facility		$851.14	$977.24	$1,380.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,412.54	Professional		$851.14	$1,122.02	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $4,466.84 / $4,466.84	Professional		$912.01	$4,466.84	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $64.57	Professional		$35.48	$44.67	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,089.30	Professional		$812.83	$1,148.15	$2,089.30