Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.16 / $676.12 / $701.16	Facility		$478.16	$676.12	$701.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.86 / $676.12 / $731.51	Professional		$580.86	$676.12	$731.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $818.87 / $1,315.46 / $1,382.55	Facility		$818.87	$1,315.46	$1,382.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.27 / $770.32 / $792.54	Professional		$615.27	$770.32	$792.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $986.60 / $1,854.80 / $2,305.79	Facility		$986.60	$1,854.80	$2,305.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,249.69 / $1,644.33 / $2,170.51	Professional		$1,249.69	$1,644.33	$2,170.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.86 / $830.86 / $1,722.17	Facility		$830.86	$830.86	$1,722.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $830.86 / $7,218.14	Professional		$606.53	$830.86	$7,218.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $687.46 / $838.37 / $1,047.96	Professional		$687.46	$838.37	$1,047.96
United Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $876.64 / $876.64	Facility		$876.64	$876.64	$876.64
United Facility/Professional Professional Modifier Low / Median / High Price $437.51 / $656.27 / $878.96	Professional		$437.51	$656.27	$878.96