Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $977.24	Facility		$660.69	$660.69	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,230.27	Professional		$660.69	$954.99	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $2,041.74 / $2,041.74	Professional		$758.58	$2,041.74	$2,041.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $288.40 / $2,951.21	Facility		$134.90	$288.40	$2,951.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $2,818.38	Professional		$151.36	$245.47	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $48.98 / $70.79	Facility		$10.47	$48.98	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $109.65	Professional		$93.33	$93.33	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $933.25 / $1,318.26	Professional		$97.72	$933.25	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $117.49 / $1,000.00	Facility		$74.13	$117.49	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $741.31	Professional		$63.10	$87.10	$741.31