Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $851.14	Facility		$812.83	$812.83	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,348.96	Professional		$676.08	$812.83	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $1,698.24	Facility		$1,479.11	$1,621.81	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $933.25	Professional		$741.31	$831.76	$933.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $2,818.38	Facility		$1,202.26	$2,137.96	$2,818.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,570.40	Professional		$1,584.89	$1,995.26	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,511.89 / $2,511.89	Facility		$1,122.02	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,318.26 / $7,585.78	Professional		$812.83	$1,318.26	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,445.44	Professional		$870.96	$1,122.02	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $933.25	Facility		$707.95	$758.58	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,071.52	Professional		$524.81	$758.58	$1,071.52