Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.89 / $552.23 / $572.67	Facility		$317.89	$552.23	$572.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.20 / $469.72 / $572.67	Professional		$416.20	$469.72	$572.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $668.83 / $1,074.42 / $1,129.22	Facility		$668.83	$1,074.42	$1,129.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.62 / $512.12 / $526.17	Professional		$426.62	$512.12	$526.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $805.82 / $1,268.07 / $1,557.91	Facility		$805.82	$1,268.07	$1,557.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,005.71 / $1,289.30 / $1,772.79	Professional		$1,005.71	$1,289.30	$1,772.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.73 / $565.73 / $1,259.08	Facility		$565.73	$565.73	$1,259.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $565.73 / $4,800.67	Professional		$412.98	$565.73	$4,800.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $561.48 / $684.74 / $855.92	Professional		$561.48	$684.74	$855.92
United Facility/Professional Professional Modifier Low / Median / High Price $336.16 / $484.45 / $708.31	Professional		$336.16	$484.45	$708.31