Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $436.52	Facility		$416.87	$416.87	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $741.31	Professional		$371.54	$426.58	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $891.25 / $954.99	Facility		$812.83	$891.25	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $478.63	Professional		$416.87	$467.74	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,202.26 / $1,548.82	Facility		$660.69	$1,202.26	$1,548.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,412.54	Professional		$891.25	$1,096.48	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,412.54 / $1,412.54	Facility		$630.96	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $891.25 / $4,168.69	Professional		$457.09	$891.25	$4,168.69
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 Facility Modifier Low / Median / High Price $512.86 / $524.81 / $616.60	Facility		$512.86	$524.81	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $602.56	Professional		$295.12	$436.52	$602.56