Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.36 / $587.32 / $609.07	Facility		$415.36	$587.32	$609.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.57 / $609.07 / $723.94	Professional		$504.57	$609.07	$723.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.32 / $1,142.69 / $1,200.97	Facility		$711.32	$1,142.69	$1,200.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.46 / $669.15 / $694.89	Professional		$534.46	$669.15	$694.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $857.02 / $1,611.19 / $2,156.56	Facility		$857.02	$1,611.19	$2,156.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,142.69 / $1,542.63 / $1,886.99	Professional		$1,142.69	$1,542.63	$1,886.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.02 / $714.02 / $1,489.56	Facility		$714.02	$714.02	$1,489.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $714.02 / $6,243.20	Professional		$521.23	$714.02	$6,243.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $597.17 / $728.26 / $910.32	Professional		$597.17	$728.26	$910.32
United Facility/Professional Professional Modifier Low / Median / High Price $380.05 / $570.07 / $860.97	Professional		$380.05	$570.07	$860.97