Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.45 / $489.09 / $507.20	Facility		$297.45	$489.09	$507.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.63 / $489.09 / $521.92	Professional		$395.63	$489.09	$521.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $592.35 / $951.57 / $1,000.10	Facility		$592.35	$951.57	$1,000.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.07 / $479.20 / $488.42	Professional		$445.07	$479.20	$488.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $713.68 / $1,284.61 / $1,554.80	Facility		$713.68	$1,284.61	$1,554.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $903.99 / $1,189.46 / $1,570.09	Professional		$903.99	$1,189.46	$1,570.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.34 / $511.34 / $1,115.11	Facility		$511.34	$511.34	$1,115.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $511.34 / $4,511.85	Professional		$373.28	$511.34	$4,511.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $497.28 / $606.45 / $758.06	Professional		$497.28	$606.45	$758.06
United Facility/Professional Facility Modifier Low / Median / High Price $346.01 / $404.62 / $476.30	Facility		$346.01	$404.62	$476.30
United Facility/Professional Professional Modifier Low / Median / High Price $316.49 / $442.28 / $627.33	Professional		$316.49	$442.28	$627.33