Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.68 / $915.68 / $924.40	Facility		$915.68	$915.68	$924.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $915.68 / $915.68	Professional		$500.00	$915.68	$915.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $987.26 / $1,028.40 / $1,028.40	Facility		$987.26	$1,028.40	$1,028.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.05 / $811.17 / $872.08	Professional		$730.05	$811.17	$872.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.17 / $1,648.23 / $1,648.23	Facility		$90.17	$1,648.23	$1,648.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $74.06 / $90.17	Professional		$66.79	$74.06	$90.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.14 / $347.14 / $872.08	Facility		$347.14	$347.14	$872.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.90 / $872.08 / $1,188.21	Professional		$435.90	$872.08	$1,188.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $906.96	Professional		$872.08	$872.08	$906.96