Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,380.38	Facility		$691.83	$691.83	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $954.99	Professional		$691.83	$691.83	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $812.83 / $1,318.26	Facility		$776.25	$812.83	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,096.48	Facility		$691.83	$691.83	$1,096.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $724.44 / $1,000.00	Professional		$691.83	$724.44	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $977.24	Facility		$691.83	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $2,884.03	Professional		$691.83	$691.83	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $891.25	Professional		$707.95	$707.95	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $724.44 / $758.58	Professional		$691.83	$724.44	$758.58