Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.16 / $495.87 / $495.87	Facility		$478.16	$495.87	$495.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.55 / $478.16 / $497.00	Professional		$418.55	$478.16	$497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.12 / $930.31 / $977.76	Facility		$579.12	$930.31	$977.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.13 / $484.07 / $502.69	Professional		$435.13	$484.07	$502.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $697.73 / $1,295.46 / $1,490.21	Facility		$697.73	$1,295.46	$1,490.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $883.79 / $1,156.66 / $1,535.01	Professional		$883.79	$1,156.66	$1,535.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.88 / $576.88 / $1,090.21	Facility		$576.88	$576.88	$1,090.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $576.88 / $4,437.87	Professional		$421.12	$576.88	$4,437.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $509.72 / $621.62 / $777.02	Professional		$509.72	$621.62	$777.02
United Facility/Professional Professional Modifier Low / Median / High Price $309.42 / $447.23 / $631.08	Professional		$309.42	$447.23	$631.08