Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,047.13	Facility		$707.95	$707.95	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,122.02	Professional		$707.95	$933.25	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,202.26	Professional		$1,071.52	$1,148.15	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $162.18 / $1,905.46	Facility		$104.71	$162.18	$1,905.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $2,630.27	Professional		$154.88	$229.09	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,230.27 / $2,511.89	Facility		$371.54	$1,230.27	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,288.25	Professional		$691.83	$912.01	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $1,148.15	Professional		$93.33	$100.00	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $602.56 / $1,047.13	Facility		$79.43	$602.56	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $1,148.15	Professional		$537.03	$812.83	$1,148.15