Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.02 / $431.30 / $447.28	Facility		$305.02	$431.30	$447.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.53 / $447.28 / $497.69	Professional		$370.53	$447.28	$497.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $522.36 / $839.14 / $881.94	Facility		$522.36	$839.14	$881.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.48 / $452.00 / $505.33	Professional		$392.48	$452.00	$505.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $629.36 / $1,183.19 / $1,482.58	Facility		$629.36	$1,183.19	$1,482.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $797.18 / $1,065.59 / $1,384.58	Professional		$797.18	$1,065.59	$1,384.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $1,106.08	Facility		$524.34	$524.34	$1,106.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.77 / $524.34 / $4,635.97	Professional		$382.77	$524.34	$4,635.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $438.53 / $534.79 / $668.50	Professional		$438.53	$534.79	$668.50
United Facility/Professional Professional Modifier Low / Median / High Price $279.08 / $418.64 / $591.90	Professional		$279.08	$418.64	$591.90