Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $371.54	Facility		$354.81	$354.81	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $645.65	Professional		$323.59	$398.11	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $758.58 / $794.33	Facility		$676.08	$758.58	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $457.09	Professional		$346.74	$446.68	$457.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,000.00 / $1,288.25	Facility		$562.34	$1,000.00	$1,288.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,202.26	Professional		$741.31	$933.25	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,258.93 / $1,258.93	Facility		$524.81	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $691.83 / $3,801.89	Professional		$389.05	$691.83	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $645.65	Professional		$389.05	$501.19	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $489.78 / $575.44	Facility		$275.42	$489.78	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $575.44	Professional		$245.47	$371.54	$575.44