Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.49 / $827.88 / $858.54	Facility		$585.49	$827.88	$858.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.24 / $858.54 / $988.63	Professional		$711.24	$858.54	$988.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,002.67 / $1,610.72 / $1,692.87	Facility		$1,002.67	$1,610.72	$1,692.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.37 / $943.22 / $943.22	Professional		$753.37	$943.22	$943.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,208.04 / $2,255.01 / $3,387.12	Facility		$1,208.04	$2,255.01	$3,387.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,610.72 / $2,013.40 / $2,657.69	Professional		$1,610.72	$2,013.40	$2,657.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.48 / $1,006.48 / $2,064.09	Facility		$1,006.48	$1,006.48	$2,064.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.73 / $1,006.48 / $8,651.23	Professional		$734.73	$1,006.48	$8,651.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $841.77 / $1,026.55 / $1,283.18	Professional		$841.77	$1,026.55	$1,283.18
United Facility/Professional Facility Modifier Low / Median / High Price $820.00 / $820.00 / $820.00	Facility		$820.00	$820.00	$820.00
United Facility/Professional Professional Modifier Low / Median / High Price $535.72 / $803.57 / $1,061.86	Professional		$535.72	$803.57	$1,061.86