Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.95 / $239.91 / $239.91	Facility		$208.95	$239.91	$239.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.95 / $267.33 / $405.70	Professional		$208.95	$267.33	$405.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $23.00 / $410.71	Professional		$20.00	$23.00	$410.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.71 / $456.39 / $519.47	Facility		$426.71	$456.39	$519.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $362.70 / $482.37 / $834.86	Professional		$362.70	$482.37	$834.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.65 / $487.65 / $487.65	Facility		$487.65	$487.65	$487.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $359.63 / $789.51	Professional		$359.63	$359.63	$789.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.82 / $247.85 / $402.47	Professional		$188.82	$247.85	$402.47