Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.90 / $515.96 / $535.07	Facility		$364.90	$515.96	$535.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.27 / $525.51 / $558.23	Professional		$443.27	$525.51	$558.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.90 / $1,003.85 / $1,055.05	Facility		$624.90	$1,003.85	$1,055.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.52 / $587.84 / $604.41	Professional		$469.52	$587.84	$604.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $752.89 / $1,405.39 / $1,848.13	Facility		$752.89	$1,405.39	$1,848.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,003.85 / $1,254.81 / $1,656.35	Professional		$1,003.85	$1,254.81	$1,656.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.26 / $627.26 / $1,325.66	Facility		$627.26	$627.26	$1,325.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $627.26 / $5,556.26	Professional		$457.90	$627.26	$5,556.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $524.61 / $639.78 / $799.72	Professional		$524.61	$639.78	$799.72
United Facility/Professional Facility Modifier Low / Median / High Price $424.45 / $496.34 / $584.28	Facility		$424.45	$496.34	$584.28
United Facility/Professional Professional Modifier Low / Median / High Price $333.87 / $500.81 / $670.74	Professional		$333.87	$500.81	$670.74