Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Facility		$449.41	$449.41	$449.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $453.90	Professional		$449.41	$449.41	$453.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $493.90	Professional		$449.41	$449.41	$493.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $629.16 / $719.06	Facility		$449.41	$629.16	$719.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $494.35 / $692.09	Professional		$449.41	$494.35	$692.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $1,173.00 / $1,173.00	Facility		$449.41	$1,173.00	$1,173.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $1,173.00	Professional		$449.41	$449.41	$1,173.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $482.72	Professional		$45.00	$45.00	$482.72
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $481.32	Professional		$449.41	$449.41	$481.32