Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.41 / $731.53 / $731.53	Facility		$705.41	$731.53	$731.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.46 / $731.53 / $766.97	Professional		$617.46	$731.53	$766.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $854.35 / $1,372.45 / $1,442.44	Facility		$854.35	$1,372.45	$1,442.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.91 / $803.69 / $816.05	Professional		$641.91	$803.69	$816.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,029.33 / $1,921.43 / $2,559.46	Facility		$1,029.33	$1,921.43	$2,559.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,372.45 / $1,715.56 / $2,264.54	Professional		$1,372.45	$1,715.56	$2,264.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $969.19 / $969.19 / $1,718.02	Facility		$969.19	$969.19	$1,718.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.51 / $882.01 / $7,200.74	Professional		$707.51	$882.01	$7,200.74
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 $456.47 / $684.70 / $1,097.96	Professional		$456.47	$684.70	$1,097.96