Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.54 / $580.49 / $601.99	Facility		$376.54	$580.49	$601.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.70 / $580.49 / $608.58	Professional		$498.70	$580.49	$608.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $703.05 / $1,129.40 / $1,187.00	Facility		$703.05	$1,129.40	$1,187.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.23 / $606.60 / $656.91	Professional		$528.23	$606.60	$656.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $847.05 / $1,586.28 / $1,922.09	Facility		$847.05	$1,586.28	$1,922.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,072.93 / $1,411.75 / $1,863.51	Professional		$1,072.93	$1,411.75	$1,863.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.96 / $732.96 / $1,345.65	Facility		$732.96	$732.96	$1,345.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.05 / $717.22 / $5,640.03	Professional		$535.05	$717.22	$5,640.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $590.21 / $719.78 / $899.72	Professional		$590.21	$719.78	$899.72
United Facility/Professional Professional Modifier Low / Median / High Price $375.63 / $522.64 / $744.55	Professional		$375.63	$522.64	$744.55