Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.72 / $704.72 / $1,041.76	Facility		$704.72	$704.72	$1,041.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.72 / $974.19 / $1,041.76	Professional		$704.72	$974.19	$1,041.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $942.78 / $1,138.51 / $1,194.02	Professional		$942.78	$1,138.51	$1,194.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.65 / $235.07 / $2,193.57	Facility		$121.65	$235.07	$2,193.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.09 / $235.07 / $2,656.58	Professional		$154.09	$235.07	$2,656.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.06 / $902.06 / $1,792.15	Facility		$902.06	$902.06	$1,792.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.90 / $902.06 / $1,340.77	Professional		$692.90	$902.06	$1,340.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $1,152.59	Professional		$100.00	$100.00	$1,152.59
United Facility/Professional Facility Modifier Low / Median / High Price $68.02 / $593.28 / $1,054.72	Facility		$68.02	$593.28	$1,054.72
United Facility/Professional Professional Modifier Low / Median / High Price $531.16 / $808.10 / $1,144.81	Professional		$531.16	$808.10	$1,144.81