Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $645.65	Facility		$616.60	$616.60	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,047.13	Professional		$549.54	$691.83	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $1,288.25	Facility		$1,096.48	$1,230.27	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $724.44	Professional		$562.34	$707.95	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,621.81 / $2,089.30	Facility		$912.01	$1,621.81	$2,089.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,905.46	Professional		$1,202.26	$1,513.56	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,187.76 / $2,187.76	Facility		$758.58	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,047.13 / $6,606.93	Professional		$549.54	$1,047.13	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,047.13	Professional		$630.96	$812.83	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $645.65 / $758.58	Facility		$588.84	$645.65	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $912.01	Professional		$398.11	$602.56	$912.01