Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.07 / $560.04 / $580.78	Facility		$396.07	$560.04	$580.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.14 / $585.32 / $745.76	Professional		$481.14	$585.32	$745.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $678.28 / $1,089.60 / $1,145.18	Facility		$678.28	$1,089.60	$1,145.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.86 / $638.05 / $677.33	Professional		$541.86	$638.05	$677.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $817.21 / $1,536.35 / $2,070.26	Facility		$817.21	$1,536.35	$2,070.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,089.60 / $1,470.97 / $1,943.86	Professional		$1,089.60	$1,470.97	$1,943.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $1,446.17	Facility		$680.86	$680.86	$1,446.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $680.86 / $6,061.34	Professional		$497.03	$680.86	$6,061.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $569.43 / $694.43 / $868.03	Professional		$569.43	$694.43	$868.03
United Facility/Professional Facility Modifier Low / Median / High Price $460.71 / $538.75 / $634.19	Facility		$460.71	$538.75	$634.19
United Facility/Professional Professional Modifier Low / Median / High Price $362.40 / $543.59 / $871.69	Professional		$362.40	$543.59	$871.69