Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $931.22 / $931.22 / $1,376.59	Facility		$931.22	$931.22	$1,376.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.22 / $1,293.41 / $1,376.59	Professional		$931.22	$1,293.41	$1,376.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,236.29 / $1,492.96 / $1,565.74	Professional		$1,236.29	$1,492.96	$1,565.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.51 / $308.37 / $2,876.47	Facility		$159.51	$308.37	$2,876.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.05 / $308.37 / $3,519.75	Professional		$202.05	$308.37	$3,519.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,516.14 / $1,516.14 / $2,364.80	Facility		$1,516.14	$1,516.14	$2,364.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $1,743.98 / $9,889.39	Professional		$169.88	$1,743.98	$9,889.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $1,527.08	Professional		$100.00	$100.00	$1,527.08
United Facility/Professional Professional Modifier Low / Median / High Price $705.20 / $1,111.55 / $1,576.27	Professional		$705.20	$1,111.55	$1,576.27