Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.72 / $308.72 / $463.69	Facility		$308.72	$308.72	$463.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.72 / $308.72 / $463.69	Professional		$308.72	$308.72	$463.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $30.00 / $30.00	Professional		$25.50	$30.00	$30.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $746.15 / $1,044.59 / $1,044.60	Facility		$746.15	$1,044.59	$1,044.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $773.78 / $858.07 / $1,149.06	Professional		$773.78	$858.07	$1,149.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.52 / $515.52 / $515.52	Facility		$515.52	$515.52	$515.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.84 / $604.84 / $604.84	Professional		$604.84	$604.84	$604.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00