Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.92 / $352.92 / $749.96	Facility		$352.92	$352.92	$749.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.92 / $352.92 / $366.15	Professional		$352.92	$352.92	$366.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $13.26 / $433.80	Facility		$12.73	$13.26	$433.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $101.52 / $101.52	Professional		$11.25	$101.52	$101.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.96 / $7.15 / $11.92	Facility		$5.96	$7.15	$11.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $5.96 / $9.18	Professional		$5.07	$5.96	$9.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $419.09 / $419.09	Professional		$374.98	$419.09	$419.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $367.63	Professional		$367.63	$367.63	$367.63