Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Facility		$553.94	$553.94	$553.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $559.47	Professional		$553.94	$553.94	$559.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.84 / $553.94 / $553.94	Professional		$470.84	$553.94	$553.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $775.52 / $886.30	Facility		$553.94	$775.52	$886.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $609.33 / $803.21	Professional		$553.94	$609.33	$803.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $1,062.50 / $1,062.50	Facility		$553.94	$1,062.50	$1,062.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.54 / $553.94 / $1,062.50	Professional		$243.54	$553.94	$1,062.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.62 / $247.92 / $576.09	Professional		$202.62	$247.92	$576.09
United Facility/Professional Professional Modifier Low / Median / High Price $498.55 / $553.94 / $593.27	Professional		$498.55	$553.94	$593.27