Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $461.36	Facility		$461.36	$461.36	$461.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $465.97	Professional		$461.36	$461.36	$465.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.15 / $461.36 / $461.36	Professional		$392.15	$461.36	$461.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $645.90 / $738.18	Facility		$461.36	$645.90	$738.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $507.50 / $668.97	Professional		$461.36	$507.50	$668.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $1,417.80 / $1,417.80	Facility		$461.36	$1,417.80	$1,417.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.31 / $461.36 / $652.86	Professional		$330.31	$461.36	$652.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $343.52 / $501.55 / $652.02	Professional		$343.52	$501.55	$652.02
United Facility/Professional Professional Modifier Low / Median / High Price $452.53 / $461.36 / $494.12	Professional		$452.53	$461.36	$494.12