Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.93 / $971.93 / $971.93	Facility		$971.93	$971.93	$971.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,556.20 / $1,556.20 / $1,556.20	Professional		$1,556.20	$1,556.20	$1,556.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $923.56 / $1,096.33 / $1,533.87	Professional		$923.56	$1,096.33	$1,533.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $906.21 / $1,237.00 / $1,426.96	Facility		$906.21	$1,237.00	$1,426.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $863.69 / $1,237.00 / $1,767.14	Professional		$863.69	$1,237.00	$1,767.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,459.57 / $1,459.57 / $1,459.57	Professional		$1,459.57	$1,459.57	$1,459.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $962.39 / $1,436.92 / $2,030.26	Professional		$962.39	$1,436.92	$2,030.26