Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.32 / $793.32 / $1,172.73	Facility		$793.32	$793.32	$1,172.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.32 / $1,079.93 / $1,172.73	Professional		$793.32	$1,079.93	$1,172.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,112.36 / $1,343.32 / $1,408.80	Professional		$1,112.36	$1,343.32	$1,408.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.54 / $296.24 / $2,136.11	Facility		$179.54	$296.24	$2,136.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $192.11 / $342.93 / $2,883.74	Professional		$192.11	$342.93	$2,883.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $504.00 / $2,064.88	Facility		$504.00	$504.00	$2,064.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.40 / $504.00 / $1,581.95	Professional		$428.40	$504.00	$1,581.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $1,297.48	Professional		$100.00	$100.00	$1,297.48
United Facility/Professional Professional Modifier Low / Median / High Price $697.24 / $1,206.80 / $1,784.80	Professional		$697.24	$1,206.80	$1,784.80