Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.15 / $968.03 / $1,003.88	Facility		$651.15	$968.03	$1,003.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.64 / $968.03 / $1,003.88	Professional		$831.64	$968.03	$1,003.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,172.42 / $1,883.40 / $1,979.45	Facility		$1,172.42	$1,883.40	$1,979.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.00 / $1,049.00 / $1,095.47	Professional		$859.00	$1,049.00	$1,095.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,412.55 / $2,568.73 / $3,017.73	Facility		$1,412.55	$2,568.73	$3,017.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,789.23 / $2,293.51 / $3,107.61	Professional		$1,789.23	$2,293.51	$3,107.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $2,287.61	Facility		$1,186.93	$1,186.93	$2,287.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $1,186.93 / $9,588.09	Professional		$866.46	$1,186.93	$9,588.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $984.27 / $1,200.33 / $1,500.42	Professional		$984.27	$1,200.33	$1,500.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,193.78 / $1,193.78 / $1,193.78	Facility		$1,193.78	$1,193.78	$1,193.78
United Facility/Professional Professional Modifier Low / Median / High Price $626.40 / $912.43 / $1,506.72	Professional		$626.40	$912.43	$1,506.72