Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.92 / $625.03 / $648.17	Facility		$300.92	$625.03	$648.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.97 / $625.03 / $649.63	Professional		$536.97	$625.03	$649.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.99 / $1,216.05 / $1,278.07	Facility		$756.99	$1,216.05	$1,278.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.76 / $632.70 / $654.42	Professional		$568.76	$632.70	$654.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.04 / $1,693.29 / $1,947.78	Facility		$912.04	$1,693.29	$1,947.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,155.25 / $1,511.86 / $2,006.48	Professional		$1,155.25	$1,511.86	$2,006.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.53 / $944.53 / $1,425.06	Facility		$944.53	$944.53	$1,425.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.51 / $944.53 / $5,800.68	Professional		$689.51	$944.53	$5,800.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $625.42 / $762.71 / $953.38	Professional		$625.42	$762.71	$953.38
United Facility/Professional Professional Modifier Low / Median / High Price $404.45 / $584.57 / $801.69	Professional		$404.45	$584.57	$801.69