Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.64 / $535.40 / $555.23	Facility		$378.64	$535.40	$555.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.97 / $535.40 / $579.26	Professional		$459.97	$535.40	$579.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $648.44 / $1,041.67 / $1,094.80	Facility		$648.44	$1,041.67	$1,094.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.21 / $609.98 / $628.75	Professional		$487.21	$609.98	$628.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $781.25 / $1,468.75 / $1,831.27	Facility		$781.25	$1,468.75	$1,831.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $989.59 / $1,302.08 / $1,718.76	Professional		$989.59	$1,302.08	$1,718.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.83 / $740.83 / $1,376.37	Facility		$740.83	$740.83	$1,376.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $740.83 / $5,768.77	Professional		$540.80	$740.83	$5,768.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $544.37 / $663.87 / $829.83	Professional		$544.37	$663.87	$829.83
United Facility/Professional Professional Modifier Low / Median / High Price $346.45 / $519.67 / $795.24	Professional		$346.45	$519.67	$795.24