Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,122.02	Facility		$758.58	$758.58	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,202.26	Professional		$776.25	$1,023.29	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,023.29 / $1,412.54	Professional		$954.99	$1,023.29	$1,412.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,288.25 / $2,290.87	Facility		$128.82	$1,288.25	$2,290.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $1,737.80 / $3,090.30	Professional		$181.97	$1,737.80	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,698.24 / $2,754.23	Facility		$407.38	$1,698.24	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,412.54	Professional		$954.99	$1,122.02	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $1,737.80	Professional		$138.04	$169.82	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $691.83 / $1,096.48	Facility		$79.43	$691.83	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,318.26	Professional		$575.44	$851.14	$1,318.26