Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.02 / $994.56 / $1,031.40	Facility		$702.02	$994.56	$1,031.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.44 / $1,031.40 / $1,383.10	Professional		$854.44	$1,031.40	$1,383.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,204.55 / $1,935.02 / $2,033.71	Facility		$1,204.55	$1,935.02	$2,033.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.30 / $1,130.95 / $1,256.21	Professional		$961.30	$1,130.95	$1,256.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,451.27 / $2,728.38 / $3,676.54	Facility		$1,451.27	$2,728.38	$3,676.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,935.02 / $2,612.28 / $3,605.11	Professional		$1,935.02	$2,612.28	$3,605.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.80 / $1,206.80 / $2,498.89	Facility		$1,206.80	$1,206.80	$2,498.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $1,206.80 / $10,473.62	Professional		$880.96	$1,206.80	$10,473.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,011.23 / $1,233.21 / $1,541.51	Professional		$1,011.23	$1,233.21	$1,541.51
United Facility/Professional Professional Modifier Low / Median / High Price $643.57 / $965.36 / $1,605.85	Professional		$643.57	$965.36	$1,605.85