Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.06 / $413.98 / $413.98	Facility		$398.06	$413.98	$413.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.36 / $467.36 / $544.10	Professional		$362.36	$467.36	$544.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.66 / $836.41 / $879.07	Facility		$520.66	$836.41	$879.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.04 / $490.87 / $511.43	Professional		$408.04	$490.87	$511.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $627.30 / $1,212.79 / $1,633.26	Facility		$627.30	$1,212.79	$1,633.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $836.41 / $1,129.15 / $1,429.11	Professional		$836.41	$1,129.15	$1,429.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $982.55	Facility		$510.69	$510.69	$982.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $510.69 / $4,118.16	Professional		$434.09	$510.69	$4,118.16
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 $278.18 / $447.18 / $628.30	Professional		$278.18	$447.18	$628.30