Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.43 / $646.46 / $670.40	Facility		$439.43	$646.46	$670.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.38 / $670.40 / $806.98	Professional		$555.38	$670.40	$806.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $782.96 / $1,257.76 / $1,321.91	Facility		$782.96	$1,257.76	$1,321.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.27 / $707.91 / $736.27	Professional		$588.27	$707.91	$736.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $943.32 / $1,752.89 / $2,389.73	Facility		$943.32	$1,752.89	$2,389.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,257.76 / $1,697.98 / $2,103.42	Professional		$1,257.76	$1,697.98	$2,103.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.39 / $755.39 / $1,575.40	Facility		$755.39	$755.39	$1,575.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.42 / $755.39 / $6,602.97	Professional		$551.42	$755.39	$6,602.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $657.30 / $801.59 / $1,001.98	Professional		$657.30	$801.59	$1,001.98
United Facility/Professional Professional Modifier Low / Median / High Price $418.32 / $618.63 / $934.44	Professional		$418.32	$618.63	$934.44