Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.08 / $990.05 / $1,026.72	Facility		$682.08	$990.05	$1,026.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.56 / $990.05 / $1,073.18	Professional		$850.56	$990.05	$1,073.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,199.08 / $1,926.24 / $2,024.48	Facility		$1,199.08	$1,926.24	$2,024.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $900.94 / $1,098.83 / $1,130.53	Professional		$900.94	$1,098.83	$1,130.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,444.68 / $2,716.00 / $3,334.30	Facility		$1,444.68	$2,716.00	$3,334.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,829.93 / $2,407.80 / $3,178.30	Professional		$1,829.93	$2,407.80	$3,178.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.51 / $1,172.51 / $2,441.08	Facility		$1,172.51	$1,172.51	$2,441.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $1,172.51 / $10,231.32	Professional		$855.93	$1,172.51	$10,231.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,006.66 / $1,227.64 / $1,534.55	Professional		$1,006.66	$1,227.64	$1,534.55
United Facility/Professional Professional Modifier Low / Median / High Price $640.65 / $960.98 / $1,540.99	Professional		$640.65	$960.98	$1,540.99