Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.92 / $777.42 / $806.22	Facility		$300.92	$777.42	$806.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.89 / $777.42 / $808.02	Professional		$667.89	$777.42	$808.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $941.56 / $1,512.55 / $1,589.69	Facility		$941.56	$1,512.55	$1,589.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.45 / $786.97 / $797.06	Professional		$707.45	$786.97	$797.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,134.41 / $2,106.13 / $2,422.73	Facility		$1,134.41	$2,106.13	$2,422.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,436.92 / $1,880.48 / $2,495.71	Professional		$1,436.92	$1,880.48	$2,495.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,772.52	Facility		$1,038.85	$1,038.85	$1,772.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $1,038.85 / $7,215.01	Professional		$758.37	$1,038.85	$7,215.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $745.85 / $909.58 / $1,136.97	Professional		$745.85	$909.58	$1,136.97
United Facility/Professional Professional Modifier Low / Median / High Price $503.06 / $693.92 / $966.19	Professional		$503.06	$693.92	$966.19