Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $977.24	Facility		$660.69	$660.69	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,047.13	Professional		$575.44	$812.83	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,258.93	Professional		$851.14	$1,202.26	$1,258.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $169.82 / $1,258.93	Facility		$75.86	$169.82	$1,258.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $1,819.70	Professional		$117.49	$194.98	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,258.93 / $2,511.89	Facility		$380.19	$1,258.93	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $2,691.53	Professional		$691.83	$812.83	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $831.76	Professional		$57.54	$83.18	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $446.68 / $676.08	Facility		$60.26	$446.68	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $812.83	Professional		$346.74	$537.03	$812.83