Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.47 / $1,232.08 / $1,232.08	Facility		$833.47	$1,232.08	$1,232.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.47 / $1,022.45 / $1,232.08	Professional		$833.47	$1,022.45	$1,232.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $813.86 / $813.86 / $953.68	Professional		$813.86	$813.86	$953.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.32 / $294.29 / $3,597.80	Facility		$171.32	$294.29	$3,597.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.36 / $380.72 / $3,726.30	Professional		$190.36	$380.72	$3,726.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $107.63 / $107.63	Facility		$64.00	$107.63	$107.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $107.63 / $144.13	Professional		$91.49	$107.63	$144.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.62 / $203.33 / $1,882.75	Professional		$150.62	$203.33	$1,882.75
United Facility/Professional Professional Modifier Low / Median / High Price $63.31 / $94.97 / $668.74	Professional		$63.31	$94.97	$668.74