Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.99 / $412.99 / $412.99	Facility		$412.99	$412.99	$412.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.55 / $412.99 / $446.74	Professional		$391.55	$412.99	$446.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.20 / $357.47 / $420.55	Professional		$261.20	$357.47	$420.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $1,080.00 / $1,350.00	Facility		$1,080.00	$1,080.00	$1,350.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $296.00 / $296.00	Facility		$64.00	$296.00	$296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $251.60 / $296.00	Professional		$251.60	$251.60	$296.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00