Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.67 / $770.35 / $1,247.24	Facility		$733.67	$770.35	$1,247.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.66 / $733.67 / $1,007.54	Professional		$733.66	$733.67	$1,007.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.57 / $865.18 / $1,467.34	Facility		$830.57	$865.18	$1,467.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.30 / $733.67 / $733.67	Professional		$660.30	$733.67	$733.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $733.67 / $807.04 / $1,173.86	Facility		$733.67	$807.04	$1,173.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $770.35 / $1,027.14	Professional		$733.67	$770.35	$1,027.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $733.67 / $1,072.43 / $1,072.43	Facility		$733.67	$1,072.43	$1,072.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.57 / $733.67 / $1,038.21	Professional		$305.57	$733.67	$1,038.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $705.14 / $705.14 / $916.68	Professional		$705.14	$705.14	$916.68
United Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $777.69 / $816.73	Professional		$733.67	$777.69	$816.73