Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.16 / $948.16 / $2,014.84	Facility		$948.16	$948.16	$2,014.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.16 / $983.72 / $983.72	Professional		$948.16	$983.72	$983.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.82 / $1,234.58 / $1,687.97	Facility		$1,135.82	$1,234.58	$1,687.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $889.89 / $1,046.93 / $1,046.93	Professional		$889.89	$1,046.93	$1,046.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,978.70 / $52,149.48 / $69,999.30	Facility		$1,978.70	$52,149.48	$69,999.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.42 / $1,046.93 / $1,046.93	Facility		$1,007.42	$1,046.93	$1,046.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,007.42 / $1,046.93 / $1,046.93	Professional		$1,007.42	$1,046.93	$1,046.93
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 $1,120.45 / $1,185.20 / $1,185.20	Professional		$1,120.45	$1,185.20	$1,185.20