Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $1,078.66 / $1,078.66	Professional		$193.00	$1,078.66	$1,078.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $271.24 / $309.98 / $387.48	Facility		$271.24	$309.98	$387.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $379.93 / $379.93	Facility		$70.00	$379.93	$379.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.35 / $277.35 / $379.93	Professional		$277.35	$277.35	$379.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,790.84 / $4,790.84 / $4,790.84	Professional		$4,790.84	$4,790.84	$4,790.84