Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.85 / $586.60 / $608.32	Facility		$414.85	$586.60	$608.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.96 / $621.10 / $700.98	Professional		$503.96	$621.10	$700.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $710.45 / $1,141.28 / $1,199.49	Facility		$710.45	$1,141.28	$1,199.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.79 / $668.33 / $705.45	Professional		$533.79	$668.33	$705.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $855.96 / $1,609.20 / $2,093.14	Facility		$855.96	$1,609.20	$2,093.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,109.33 / $1,500.85 / $1,883.11	Professional		$1,109.33	$1,500.85	$1,883.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.15 / $713.15 / $1,492.33	Facility		$713.15	$713.15	$1,492.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $713.15 / $6,254.82	Professional		$520.60	$713.15	$6,254.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $596.43 / $727.36 / $909.20	Professional		$596.43	$727.36	$909.20
United Facility/Professional Professional Modifier Low / Median / High Price $385.57 / $569.38 / $833.66	Professional		$385.57	$569.38	$833.66