Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.78 / $739.96 / $767.37	Facility		$434.78	$739.96	$767.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.78 / $739.96 / $767.37	Professional		$434.78	$739.96	$767.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $896.19 / $1,439.67 / $1,513.09	Facility		$896.19	$1,439.67	$1,513.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.13 / $659.13 / $828.15	Professional		$659.13	$659.13	$828.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,079.75 / $1,946.65 / $2,255.57	Facility		$1,079.75	$1,946.65	$2,255.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,367.69 / $1,762.16 / $2,375.46	Professional		$1,367.69	$1,762.16	$2,375.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.42 / $840.60 / $1,687.12	Facility		$829.42	$840.60	$1,687.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $840.60 / $2,528.19	Professional		$613.64	$840.60	$2,528.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $743.19 / $906.34 / $1,132.92	Professional		$743.19	$906.34	$1,132.92
United Facility/Professional Professional Modifier Low / Median / High Price $478.83 / $697.03 / $1,046.46	Professional		$478.83	$697.03	$1,046.46