Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.99 / $876.99 / $1,296.42	Facility		$876.99	$876.99	$1,296.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.79 / $1,113.96 / $1,386.37	Professional		$885.79	$1,113.96	$1,386.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,393.46 / $1,458.95 / $1,875.80	Professional		$1,393.46	$1,458.95	$1,875.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.53 / $1,353.96 / $2,685.39	Facility		$180.53	$1,353.96	$2,685.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $1,851.99 / $3,055.78	Professional		$185.20	$1,851.99	$3,055.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.05 / $1,217.05 / $2,527.53	Facility		$1,217.05	$1,217.05	$2,527.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.49 / $1,217.05 / $8,989.59	Professional		$1,034.49	$1,217.05	$8,989.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.32 / $177.10 / $1,771.11	Professional		$142.32	$177.10	$1,771.11
United Facility/Professional Professional Modifier Low / Median / High Price $661.41 / $1,104.85 / $1,694.86	Professional		$661.41	$1,104.85	$1,694.86