Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.02 / $971.24 / $971.24	Facility		$657.02	$971.24	$971.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.02 / $948.20 / $1,092.20	Professional		$657.02	$948.20	$1,092.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.73 / $2,030.00 / $2,030.00	Professional		$751.73	$2,030.00	$2,030.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.05 / $282.45 / $2,856.39	Facility		$135.05	$282.45	$2,856.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.06 / $300.12 / $2,979.11	Professional		$150.06	$300.12	$2,979.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $99.82 / $99.82	Facility		$70.00	$99.82	$99.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $99.82 / $121.19	Professional		$84.85	$99.82	$121.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $156.06 / $1,230.49	Professional		$97.27	$156.06	$1,230.49
United Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $79.52 / $676.56	Professional		$49.91	$79.52	$676.56