Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $380.19	Facility		$363.08	$363.08	$380.19
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 Professional Modifier Low / Median / High Price $363.08 / $426.58 / $575.44	Professional		$363.08	$426.58	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,047.13 / $1,348.96	Facility		$575.44	$1,047.13	$1,348.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,230.27	Professional		$776.25	$954.99	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,148.15 / $1,148.15	Facility		$501.19	$1,148.15	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $3,467.37	Professional		$426.58	$645.65	$3,467.37
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 $354.81 / $467.74 / $549.54	Facility		$354.81	$467.74	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $537.03	Professional		$257.04	$380.19	$537.03