Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.34 / $467.11 / $484.41	Facility		$330.34	$467.11	$484.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.30 / $536.30 / $629.79	Professional		$401.30	$536.30	$629.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $565.73 / $908.80 / $955.15	Facility		$565.73	$908.80	$955.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.35 / $532.17 / $572.00	Professional		$452.35	$532.17	$572.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $681.60 / $1,281.41 / $1,876.03	Facility		$681.60	$1,281.41	$1,876.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $908.80 / $1,226.88 / $1,641.60	Professional		$908.80	$1,226.88	$1,641.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $567.88 / $1,198.52	Facility		$567.88	$567.88	$1,198.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $567.88 / $5,023.35	Professional		$414.55	$567.88	$5,023.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $474.93 / $579.19 / $723.98	Professional		$474.93	$579.19	$723.98
United Facility/Professional Professional Modifier Low / Median / High Price $302.26 / $453.39 / $694.98	Professional		$302.26	$453.39	$694.98