Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,630.27	Facility		$1,258.93	$1,258.93	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $1,584.89	Professional		$1,258.93	$1,288.25	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $1,548.82	Facility		$436.52	$436.52	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $389.05	Professional		$371.54	$371.54	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $239.88	Facility		$147.91	$147.91	$239.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $208.93	Professional		$147.91	$147.91	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $1,479.11	Facility		$1,318.26	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,318.26 / $7,079.46	Professional		$416.87	$1,318.26	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $3,019.95	Professional		$165.96	$173.78	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,445.44	Professional		$1,047.13	$1,380.38	$1,445.44