Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $349.02 / $349.02	Facility		$349.02	$349.02	$349.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $352.51	Professional		$349.02	$349.02	$352.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.02 / $349.02	Professional		$349.01	$349.02	$349.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $488.63 / $558.42	Facility		$349.02	$488.63	$558.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $383.92 / $506.08	Professional		$349.02	$383.92	$506.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.01 / $688.50 / $688.50	Facility		$349.01	$688.50	$688.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $520.92	Professional		$349.01	$349.01	$520.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $360.51 / $360.51 / $468.66	Professional		$360.51	$360.51	$468.66
United Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $373.80	Professional		$349.02	$349.02	$373.80