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 / $776.25	Professional		$660.69	$660.69	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $691.83	Professional		$660.69	$660.69	$691.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,071.52	Facility		$660.69	$660.69	$1,071.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $707.95 / $933.25	Professional		$660.69	$707.95	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,096.48 / $1,096.48	Facility		$660.69	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $2,818.38	Professional		$660.69	$660.69	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $933.25	Professional		$44.67	$44.67	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $724.44 / $1,000.00	Professional		$125.89	$724.44	$1,000.00