Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $724.44	Professional		$660.69	$660.69	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $676.08	Professional		$660.69	$660.69	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,047.13	Facility		$660.69	$660.69	$1,047.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $707.95 / $912.01	Professional		$660.69	$707.95	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,548.82 / $1,548.82	Facility		$660.69	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $2,754.23	Professional		$660.69	$660.69	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,023.29 / $1,659.59	Professional		$125.89	$1,023.29	$1,659.59