Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $691.83	Facility		$660.69	$660.69	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $1,096.48	Professional		$524.81	$630.96	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $1,380.38	Facility		$1,174.90	$1,318.26	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $660.69	Professional		$588.84	$630.96	$660.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,737.80 / $2,238.72	Facility		$977.24	$1,737.80	$2,238.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,041.74	Professional		$1,288.25	$1,621.81	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,949.84 / $1,949.84	Facility		$707.95	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,047.13 / $5,888.44	Professional		$524.81	$1,047.13	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $933.25	Professional		$562.34	$724.44	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $575.44 / $676.08	Facility		$537.03	$575.44	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $831.76	Professional		$398.11	$588.84	$831.76