Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.14 / $423.14 / $899.16	Facility		$423.14	$423.14	$899.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $423.14 / $439.00	Professional		$423.14	$423.14	$439.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.16 / $503.44 / $688.32	Facility		$463.16	$503.44	$688.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.88 / $440.77 / $440.77	Professional		$362.88	$440.77	$440.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $209.92 / $216.76 / $377.86	Facility		$209.92	$216.76	$377.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.33 / $209.92 / $209.92	Professional		$206.33	$209.92	$209.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.89 / $426.92 / $426.92	Facility		$275.89	$426.92	$426.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $1,153.72	Professional		$426.92	$426.92	$1,153.72
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 $528.91 / $560.66 / $588.79	Professional		$528.91	$560.66	$588.79