Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.54 / $618.67 / $641.60	Facility		$437.54	$618.67	$641.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.52 / $659.21 / $743.98	Professional		$531.52	$659.21	$743.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $749.31 / $1,203.71 / $1,265.09	Facility		$749.31	$1,203.71	$1,265.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.00 / $704.88 / $722.95	Professional		$563.00	$704.88	$722.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $902.78 / $1,697.23 / $2,216.23	Facility		$902.78	$1,697.23	$2,216.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,177.38 / $1,592.92 / $1,986.12	Professional		$1,177.38	$1,592.92	$1,986.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.15 / $752.15 / $1,559.11	Facility		$752.15	$752.15	$1,559.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $752.15 / $6,534.72	Professional		$549.07	$752.15	$6,534.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $629.06 / $767.15 / $958.93	Professional		$629.06	$767.15	$958.93
United Facility/Professional Professional Modifier Low / Median / High Price $400.34 / $600.52 / $884.82	Professional		$400.34	$600.52	$884.82