Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.80 / $358.80 / $422.56	Facility		$358.80	$358.80	$422.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $358.80 / $372.26	Professional		$358.80	$358.80	$372.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $460.20 / $592.79 / $975.00	Facility		$460.20	$592.79	$975.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $55.25 / $65.00	Professional		$41.80	$55.25	$65.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $532.75 / $532.75 / $532.75	Professional		$532.75	$532.75	$532.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $381.23	Facility		$85.00	$85.00	$381.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $381.23 / $381.23	Professional		$80.75	$381.23	$381.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $403.65	Professional		$390.00	$390.00	$403.65