Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.47 / $564.47 / $834.43	Facility		$564.47	$564.47	$834.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.47 / $764.34 / $880.43	Professional		$564.47	$764.34	$880.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.00 / $681.00 / $772.45	Professional		$611.00	$681.00	$772.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.69 / $199.58 / $1,728.28	Facility		$96.69	$199.58	$1,728.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.47 / $212.72 / $1,728.28	Professional		$122.47	$212.72	$1,728.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $1,344.76	Facility		$450.00	$450.00	$1,344.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $450.00 / $5,623.69	Professional		$97.68	$450.00	$5,623.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.29 / $92.70 / $927.04	Professional		$54.29	$92.70	$927.04
United Facility/Professional Professional Modifier Low / Median / High Price $365.36 / $523.48 / $698.77	Professional		$365.36	$523.48	$698.77