Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.49 / $438.49 / $648.20	Facility		$438.49	$438.49	$648.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $609.11 / $648.20	Professional		$438.49	$609.11	$648.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $527.94 / $703.92 / $737.27	Professional		$527.94	$703.92	$737.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.14 / $751.12 / $1,546.62	Facility		$100.14	$751.12	$1,546.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $1,006.30 / $1,652.46	Professional		$107.15	$1,006.30	$1,652.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.17 / $615.17 / $1,173.61	Facility		$615.17	$615.17	$1,173.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.90 / $615.17 / $4,845.39	Professional		$522.90	$615.17	$4,845.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $719.09	Professional		$100.00	$100.00	$719.09
United Facility/Professional Professional Modifier Low / Median / High Price $287.58 / $460.08 / $660.24	Professional		$287.58	$460.08	$660.24