Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Facility		$574.00	$574.00	$574.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Professional		$574.00	$574.00	$574.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $292.00 / $333.00	Professional		$292.00	$292.00	$333.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $388.80 / $388.80 / $388.80	Facility		$388.80	$388.80	$388.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $424.00 / $1,423.10	Facility		$424.00	$424.00	$1,423.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.40 / $424.00 / $424.00	Professional		$360.40	$424.00	$424.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00