Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $891.25	Facility		$851.14	$851.14	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,174.90	Professional		$630.96	$758.58	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $1,778.28	Facility		$1,548.82	$1,698.24	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $812.83	Professional		$660.69	$776.25	$812.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $2,951.21	Facility		$1,258.93	$2,238.72	$2,951.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,691.53	Professional		$1,659.59	$2,089.30	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,454.71 / $2,454.71	Facility		$831.76	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,412.54 / $7,413.10	Professional		$616.60	$1,412.54	$7,413.10
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 $660.69 / $776.25 / $891.25	Facility		$660.69	$776.25	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $758.58 / $1,071.52	Professional		$457.09	$758.58	$1,071.52