Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,047.13	Facility		$707.95	$707.95	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,258.93	Professional		$707.95	$1,000.00	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $851.14 / $977.24	Professional		$776.25	$851.14	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $234.42 / $1,479.11	Facility		$104.71	$234.42	$1,479.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $2,187.76	Professional		$162.18	$269.15	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,479.11 / $2,344.23	Facility		$354.81	$1,479.11	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $851.14 / $2,290.87	Professional		$125.89	$851.14	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $147.91 / $1,148.15	Professional		$67.61	$147.91	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $562.34 / $1,000.00	Facility		$75.86	$562.34	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $977.24	Professional		$457.09	$660.69	$977.24