Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.30 / $662.86 / $662.86	Facility		$433.30	$662.86	$662.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.85 / $647.49 / $664.33	Professional		$569.85	$647.49	$664.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $774.14 / $1,243.59 / $1,307.02	Facility		$774.14	$1,243.59	$1,307.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $661.43	Professional		$170.00	$170.00	$661.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $932.70 / $1,731.60 / $1,991.95	Facility		$932.70	$1,731.60	$1,991.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,181.42 / $1,546.08 / $2,051.94	Professional		$1,181.42	$1,546.08	$2,051.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $756.07 / $1,457.34	Facility		$756.07	$756.07	$1,457.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.92 / $756.07 / $5,933.47	Professional		$551.92	$756.07	$5,933.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $681.35 / $830.92 / $1,038.65	Professional		$681.35	$830.92	$1,038.65
United Facility/Professional Professional Modifier Low / Median / High Price $413.61 / $597.79 / $819.84	Professional		$413.61	$597.79	$819.84