Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Facility		$655.29	$655.29	$655.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $661.85	Professional		$655.29	$655.29	$661.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $730.43	Professional		$655.29	$655.29	$730.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $917.42 / $1,048.48	Facility		$655.29	$917.42	$1,048.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $720.83 / $950.19	Professional		$655.29	$720.83	$950.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $1,537.00 / $1,537.00	Facility		$655.29	$1,537.00	$1,537.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $1,067.16	Professional		$655.29	$655.29	$1,067.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $977.75	Professional		$45.00	$45.00	$977.75
United Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $730.43	Professional		$655.29	$655.29	$730.43