Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $4,897.79	Facility		$851.14	$851.14	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $912.01	Professional		$851.14	$851.14	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,698.24	Facility		$1,000.00	$1,047.13	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $724.44	Professional		$446.68	$446.68	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $223.87	Facility		$154.88	$154.88	$223.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $154.88 / $223.87	Professional		$151.36	$154.88	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,698.24 / $1,698.24	Facility		$912.01	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $4,786.30 / $4,786.30	Professional		$213.80	$4,786.30	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $954.99	Professional		$891.25	$891.25	$954.99