Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.53 / $675.66 / $675.66	Facility		$651.53	$675.66	$675.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.29 / $651.53 / $677.16	Professional		$570.29	$651.53	$677.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $789.09 / $1,267.60 / $1,332.26	Facility		$789.09	$1,267.60	$1,332.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.89 / $659.53 / $737.29	Professional		$592.89	$659.53	$737.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $950.71 / $1,765.05 / $2,030.46	Facility		$950.71	$1,765.05	$2,030.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,204.23 / $1,575.94 / $2,091.56	Professional		$1,204.23	$1,575.94	$2,091.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $741.89 / $1,485.48	Facility		$741.89	$741.89	$1,485.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $741.89 / $6,046.64	Professional		$541.58	$741.89	$6,046.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $694.52 / $846.98 / $1,058.72	Professional		$694.52	$846.98	$1,058.72
United Facility/Professional Professional Modifier Low / Median / High Price $421.60 / $608.71 / $1,014.09	Professional		$421.60	$608.71	$1,014.09