Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.75 / $625.03 / $648.17	Facility		$554.75	$625.03	$648.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.10 / $625.03 / $649.63	Professional		$547.10	$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 / $657.04	Professional		$568.76	$632.70	$657.04
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 $782.41 / $782.41 / $1,425.06	Facility		$782.41	$782.41	$1,425.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.16 / $782.41 / $5,800.68	Professional		$571.16	$782.41	$5,800.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $749.36 / $913.86 / $1,142.32	Professional		$749.36	$913.86	$1,142.32
United Facility/Professional Professional Modifier Low / Median / High Price $402.27 / $565.67 / $801.69	Professional		$402.27	$565.67	$801.69