Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Facility		$735.05	$735.05	$735.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $742.40	Professional		$735.05	$735.05	$742.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $829.47	Professional		$735.05	$735.05	$829.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $992.32 / $1,176.08	Facility		$735.05	$992.32	$1,176.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $808.56 / $1,065.82	Professional		$735.05	$808.56	$1,065.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $735.05 / $1,887.00 / $1,887.00	Facility		$735.05	$1,887.00	$1,887.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $1,188.10	Professional		$735.05	$735.05	$1,188.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $972.42	Professional		$45.00	$45.00	$972.42
United Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $813.21	Professional		$735.05	$735.05	$813.21