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 $150.06 / $282.45 / $2,836.13	Facility		$150.06	$282.45	$2,836.13
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 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $109.54 / $121.19	Professional		$93.11	$109.54	$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 / $74.86 / $676.56	Professional		$49.91	$74.86	$676.56