Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.36 / $955.11 / $990.49	Facility		$648.36	$955.11	$990.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $820.55 / $991.88 / $1,158.71	Professional		$820.55	$991.88	$1,158.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,156.77 / $1,858.27 / $1,953.04	Facility		$1,156.77	$1,858.27	$1,953.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $869.15 / $1,044.49 / $1,086.33	Professional		$869.15	$1,044.49	$1,086.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,393.70 / $2,620.16 / $3,451.68	Facility		$1,393.70	$2,620.16	$3,451.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,833.71 / $2,480.90 / $3,066.15	Professional		$1,833.71	$2,480.90	$3,066.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,395.53 / $1,395.53 / $2,302.61	Facility		$1,395.53	$1,395.53	$2,302.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,364.33 / $9,650.94	Professional		$1,018.74	$1,364.33	$9,650.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $971.13 / $1,184.31 / $1,480.38	Professional		$971.13	$1,184.31	$1,480.38
United Facility/Professional Professional Modifier Low / Median / High Price $618.04 / $912.97 / $1,378.04	Professional		$618.04	$912.97	$1,378.04