Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.98 / $254.47 / $1,414.85	Facility		$192.98	$254.47	$1,414.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.98 / $254.47 / $541.44	Professional		$192.98	$254.47	$541.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $575.28 / $575.28	Professional		$23.98	$575.28	$575.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $334.46 / $334.46 / $334.46	Professional		$334.46	$334.46	$334.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.29 / $358.29 / $484.69	Facility		$358.29	$358.29	$484.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $358.29 / $1,566.89	Professional		$358.29	$358.29	$1,566.89
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 $676.80 / $676.80 / $676.80	Professional		$676.80	$676.80	$676.80