Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.54 / $414.54 / $880.91	Facility		$414.54	$414.54	$880.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.54 / $414.54 / $430.09	Professional		$414.54	$414.54	$430.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $496.59 / $539.78 / $539.78	Facility		$496.59	$539.78	$539.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.04 / $431.82 / $457.73	Professional		$367.04	$431.82	$457.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $865.12 / $52,149.48 / $69,999.30	Facility		$865.12	$52,149.48	$69,999.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $457.73 / $457.73	Facility		$85.00	$457.73	$457.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.73 / $457.73 / $580.36	Professional		$457.73	$457.73	$580.36
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 $518.17 / $518.17 / $518.17	Professional		$518.17	$518.17	$518.17