Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.91 / $759.91 / $1,123.33	Facility		$759.91	$759.91	$1,123.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.91 / $1,017.37 / $1,123.33	Professional		$759.91	$1,017.37	$1,123.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.46 / $1,094.74 / $1,407.52	Professional		$961.46	$1,094.74	$1,407.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $1,277.15 / $2,469.15	Facility		$170.29	$1,277.15	$2,469.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.21 / $1,724.15 / $3,103.54	Professional		$182.21	$1,724.15	$3,103.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.58 / $1,116.58 / $1,983.91	Facility		$1,116.58	$1,116.58	$1,983.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.10 / $1,116.58 / $1,556.87	Professional		$949.10	$1,116.58	$1,556.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.63 / $171.48 / $1,735.92	Professional		$139.63	$171.48	$1,735.92
United Facility/Professional Professional Modifier Low / Median / High Price $572.85 / $859.28 / $1,329.32	Professional		$572.85	$859.28	$1,329.32