Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.08 / $850.08 / $4,726.43	Facility		$850.08	$850.08	$4,726.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.08 / $850.08 / $881.96	Professional		$850.08	$850.08	$881.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,002.46 / $1,044.23 / $1,667.34	Facility		$1,002.46	$1,044.23	$1,667.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.42 / $450.13 / $648.00	Professional		$391.42	$450.13	$648.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.46 / $160.52 / $248.74	Facility		$155.46	$160.52	$248.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.80 / $171.01 / $239.41	Professional		$152.80	$171.01	$239.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Facility		$903.21	$903.21	$903.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.62 / $903.21 / $1,285.24	Professional		$211.62	$903.21	$1,285.24
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 $885.50 / $885.50 / $948.37	Professional		$885.50	$885.50	$948.37