Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.20 / $992.91 / $1,029.68	Facility		$702.20	$992.91	$1,029.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.02 / $1,009.97 / $1,074.25	Professional		$853.02	$1,009.97	$1,074.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.55 / $1,931.80 / $2,030.32	Facility		$1,202.55	$1,931.80	$2,030.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $903.54 / $1,131.24 / $1,148.64	Professional		$903.54	$1,131.24	$1,148.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,448.85 / $2,704.52 / $3,460.25	Facility		$1,448.85	$2,704.52	$3,460.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,931.80 / $2,414.75 / $3,187.47	Professional		$1,931.80	$2,414.75	$3,187.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $2,454.07	Facility		$1,207.09	$1,207.09	$2,454.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $1,207.09 / $10,285.74	Professional		$881.18	$1,207.09	$10,285.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,009.56 / $1,231.18 / $1,538.97	Professional		$1,009.56	$1,231.18	$1,538.97
United Facility/Professional Professional Modifier Low / Median / High Price $642.50 / $963.76 / $1,290.77	Professional		$642.50	$963.76	$1,290.77