Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $307.58 / $653.60	Facility		$307.58	$307.58	$653.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $307.58 / $326.80	Professional		$307.58	$307.58	$326.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.70 / $377.81 / $378.06	Facility		$362.70	$377.81	$378.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $320.39	Professional		$302.00	$302.00	$320.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Professional		$326.80	$326.80	$326.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Facility		$326.80	$326.80	$326.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $326.80 / $326.80	Professional		$326.80	$326.80	$326.80
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 $320.39 / $320.39 / $330.00	Professional		$320.39	$320.39	$330.00