Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,023.29	Facility		$977.24	$977.24	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,584.89	Professional		$776.25	$912.01	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $2,041.74	Facility		$1,737.80	$1,949.84	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $977.24	Professional		$794.33	$933.25	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,570.40 / $3,311.31	Facility		$1,412.54	$2,570.40	$3,311.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $3,019.95	Professional		$1,905.46	$2,398.83	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $2,884.03	Facility		$1,023.29	$2,884.03	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,548.82 / $8,709.64	Professional		$758.58	$1,548.82	$8,709.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,548.82	Professional		$933.25	$1,202.26	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $851.14 / $1,047.13	Facility		$794.33	$851.14	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,230.27	Professional		$549.54	$851.14	$1,230.27