Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Facility		$713.50	$713.50	$713.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $720.64	Professional		$713.50	$713.50	$720.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $909.71	Professional		$713.50	$713.50	$909.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $998.90 / $1,141.59	Facility		$713.50	$998.90	$1,141.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $784.85 / $1,034.58	Professional		$713.50	$784.85	$1,034.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $1,351.50 / $1,351.50	Facility		$713.50	$1,351.50	$1,351.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $1,351.50	Professional		$713.50	$713.50	$1,351.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $975.26 / $975.26 / $1,267.83	Professional		$975.26	$975.26	$1,267.83
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $941.46	Professional		$713.50	$713.50	$941.46