Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.92 / $555.29 / $575.85	Facility		$300.92	$555.29	$575.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.05 / $555.29 / $577.16	Professional		$477.05	$555.29	$577.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.53 / $1,080.36 / $1,135.47	Facility		$672.53	$1,080.36	$1,135.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.31 / $562.11 / $562.11	Professional		$505.31	$562.11	$562.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $810.28 / $1,504.40 / $1,730.47	Facility		$810.28	$1,504.40	$1,730.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,026.34 / $1,343.21 / $1,782.61	Professional		$1,026.34	$1,343.21	$1,782.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.41 / $695.41 / $1,266.06	Facility		$695.41	$695.41	$1,266.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.65 / $695.41 / $5,153.50	Professional		$507.65	$695.41	$5,153.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $946.01	Professional		$100.00	$100.00	$946.01
United Facility/Professional Professional Modifier Low / Median / High Price $359.32 / $518.79 / $712.23	Professional		$359.32	$518.79	$712.23