Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $407.38	Facility		$389.05	$389.05	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $676.08	Professional		$346.74	$446.68	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $776.25 / $812.83	Facility		$707.95	$776.25	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $467.74	Professional		$354.81	$446.68	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,023.29 / $1,348.96	Facility		$575.44	$1,023.29	$1,348.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,230.27	Professional		$758.58	$954.99	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,412.54 / $1,412.54	Facility		$549.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $724.44 / $4,265.80	Professional		$398.11	$724.44	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $660.69	Professional		$398.11	$512.86	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $446.68 / $512.86	Facility		$380.19	$446.68	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $602.56	Professional		$257.04	$380.19	$602.56