Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.13 / $482.36 / $605.51	Facility		$465.13	$482.36	$605.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.99 / $453.45 / $614.60	Professional		$351.99	$453.45	$614.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $483.39 / $776.53 / $816.13	Facility		$483.39	$776.53	$816.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $174.00 / $973.32	Professional		$174.00	$174.00	$973.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $582.40 / $1,048.32 / $1,281.27	Facility		$582.40	$1,048.32	$1,281.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.05 / $931.84 / $1,281.27	Professional		$660.05	$931.84	$1,281.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.68 / $758.68 / $904.69	Facility		$758.68	$758.68	$904.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $758.68 / $3,478.06	Professional		$553.84	$758.68	$3,478.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $798.12 / $973.32 / $1,216.65	Professional		$798.12	$973.32	$1,216.65
United Facility/Professional Professional Modifier Low / Median / High Price $413.61 / $617.05 / $827.32	Professional		$413.61	$617.05	$827.32