Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.66 / $465.28 / $648.84	Facility		$448.66	$465.28	$648.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $461.25 / $515.13	Professional		$400.00	$461.25	$515.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $543.39 / $872.92 / $917.44	Facility		$543.39	$872.92	$917.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.25 / $476.95 / $507.95	Professional		$430.25	$476.95	$507.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $654.69 / $1,202.26 / $1,617.92	Facility		$654.69	$1,202.26	$1,617.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $829.27 / $1,073.45 / $1,440.32	Professional		$829.27	$1,073.45	$1,440.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.51 / $579.51 / $1,049.85	Facility		$579.51	$579.51	$1,049.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $698.34 / $878.08	Professional		$423.04	$698.34	$878.08
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 $290.33 / $428.42 / $738.20	Professional		$290.33	$428.42	$738.20