Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.48 / $656.20 / $680.50	Facility		$463.48	$656.20	$680.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.75 / $680.50 / $805.94	Professional		$563.75	$680.50	$805.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.74 / $1,276.69 / $1,341.80	Facility		$794.74	$1,276.69	$1,341.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.15 / $746.67 / $775.39	Professional		$597.15	$746.67	$775.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $957.52 / $1,800.13 / $2,400.82	Facility		$957.52	$1,800.13	$2,400.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,723.53 / $2,106.54	Professional		$1,275.43	$1,723.53	$2,106.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.34 / $1,057.34 / $1,650.87	Facility		$1,057.34	$1,057.34	$1,650.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $1,057.34 / $6,919.30	Professional		$771.87	$1,057.34	$6,919.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $667.22 / $813.69 / $1,017.11	Professional		$667.22	$813.69	$1,017.11
United Facility/Professional Professional Modifier Low / Median / High Price $424.62 / $636.92 / $958.49	Professional		$424.62	$636.92	$958.49