Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,122.02	Facility		$758.58	$758.58	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,288.25	Professional		$707.95	$1,023.29	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $1,445.44 / $1,445.44	Professional		$144.54	$1,445.44	$1,445.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $165.96 / $199.53	Facility		$100.00	$165.96	$199.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $213.80	Professional		$134.90	$162.18	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,348.96 / $1,949.84	Facility		$194.98	$1,348.96	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $5,754.40	Professional		$794.33	$794.33	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $123.03	Professional		$100.00	$100.00	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $114.82 / $2,754.23	Facility		$77.62	$114.82	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $128.82 / $724.44	Professional		$54.95	$128.82	$724.44