Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.79 / $572.96 / $974.03	Facility		$563.79	$572.96	$974.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $648.64 / $675.66 / $1,145.92	Facility		$648.64	$675.66	$1,145.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.01 / $572.96 / $572.96	Professional		$487.01	$572.96	$572.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $622.51 / $916.74	Facility		$572.96	$622.51	$916.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $601.61 / $882.36	Professional		$572.96	$601.61	$882.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $572.96 / $680.71	Facility		$572.96	$572.96	$680.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $968.64 / $968.64	Professional		$572.96	$968.64	$968.64
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 $563.79 / $572.96 / $572.96	Professional		$563.79	$572.96	$572.96