Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.19 / $851.61 / $851.61	Facility		$821.19	$851.61	$851.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.81 / $821.19 / $853.53	Professional		$718.81	$821.19	$853.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $994.58 / $1,597.72 / $1,679.20	Facility		$994.58	$1,597.72	$1,679.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.29 / $831.29 / $929.30	Professional		$747.29	$831.29	$929.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,198.29 / $2,224.78 / $2,559.15	Facility		$1,198.29	$2,224.78	$2,559.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,517.83 / $1,986.41 / $2,636.24	Professional		$1,517.83	$1,986.41	$2,636.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,872.32	Facility		$1,115.23	$1,115.23	$1,872.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $1,115.23 / $7,621.34	Professional		$814.12	$1,115.23	$7,621.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $875.39 / $1,067.55 / $1,334.43	Professional		$875.39	$1,067.55	$1,334.43
United Facility/Professional Professional Modifier Low / Median / High Price $531.39 / $789.97 / $1,083.77	Professional		$531.39	$789.97	$1,083.77