Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.58 / $510.58 / $529.49	Facility		$430.58	$510.58	$529.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.64 / $510.58 / $530.67	Professional		$438.64	$510.58	$530.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $618.37 / $993.37 / $1,044.03	Facility		$618.37	$993.37	$1,044.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.63 / $516.87 / $516.87	Professional		$464.63	$516.87	$516.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $745.03 / $1,383.24 / $1,591.24	Facility		$745.03	$1,383.24	$1,591.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $943.70 / $1,235.04 / $1,639.06	Professional		$943.70	$1,235.04	$1,639.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $1,164.10	Facility		$551.53	$551.53	$1,164.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $551.53 / $4,738.68	Professional		$402.62	$551.53	$4,738.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $510.90 / $623.05 / $778.82	Professional		$510.90	$623.05	$778.82
United Facility/Professional Professional Modifier Low / Median / High Price $330.39 / $477.04 / $654.88	Professional		$330.39	$477.04	$654.88