Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.11 / $859.65 / $891.49	Facility		$487.11	$859.65	$891.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.75 / $719.76 / $891.49	Professional		$637.75	$719.76	$891.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.16 / $1,672.54 / $1,757.84	Facility		$1,041.16	$1,672.54	$1,757.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $653.72 / $784.72 / $804.84	Professional		$653.72	$784.72	$804.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,254.41 / $2,031.26 / $2,425.17	Facility		$1,254.41	$2,031.26	$2,425.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,541.07 / $2,007.05 / $2,759.69	Professional		$1,541.07	$2,007.05	$2,759.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.35 / $837.35 / $1,960.01	Facility		$837.35	$837.35	$1,960.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.27 / $837.35 / $7,351.27	Professional		$611.27	$837.35	$7,351.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $874.07 / $1,065.95 / $1,332.43	Professional		$874.07	$1,065.95	$1,332.43
United Facility/Professional Facility Modifier Low / Median / High Price $566.61 / $662.58 / $874.74	Facility		$566.61	$662.58	$874.74
United Facility/Professional Professional Modifier Low / Median / High Price $515.10 / $753.40 / $1,102.63	Professional		$515.10	$753.40	$1,102.63