Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.32 / $297.32 / $631.80	Facility		$297.32	$297.32	$631.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.32 / $297.32 / $339.31	Professional		$297.32	$297.32	$339.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.04 / $379.39 / $455.27	Facility		$349.04	$379.39	$455.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $321.72	Professional		$321.72	$321.72	$321.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.20 / $137.79 / $177.92	Facility		$111.20	$137.79	$177.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.20 / $122.32 / $166.49	Professional		$111.20	$122.32	$166.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.15 / $146.15 / $321.72	Facility		$146.15	$146.15	$321.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.78 / $321.72 / $394.56	Professional		$245.78	$321.72	$394.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $328.29 / $344.77	Professional		$309.70	$328.29	$344.77