Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.09 / $569.09 / $1,209.31	Facility		$569.09	$569.09	$1,209.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.09 / $569.09 / $604.66	Professional		$569.09	$569.09	$604.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $681.72 / $741.00 / $889.20	Facility		$681.72	$741.00	$889.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $628.37	Professional		$628.37	$628.37	$628.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $358.57 / $444.30 / $573.71	Facility		$358.57	$444.30	$573.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $358.57 / $394.43 / $536.86	Professional		$358.57	$394.43	$536.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.24 / $471.24 / $628.37	Facility		$471.24	$471.24	$628.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $785.46	Professional		$628.37	$628.37	$785.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $380.34 / $456.40 / $3,000.00	Professional		$380.34	$456.40	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $628.37 / $659.91	Professional		$592.79	$628.37	$659.91