Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.24 / $539.54 / $559.54	Facility		$361.24	$539.54	$559.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.54 / $533.77 / $559.54	Professional		$463.54	$533.77	$559.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $653.47 / $1,049.75 / $1,103.29	Facility		$653.47	$1,049.75	$1,103.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.80 / $581.95 / $604.33	Professional		$484.80	$581.95	$604.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $787.31 / $1,417.16 / $1,639.74	Facility		$787.31	$1,417.16	$1,639.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $997.26 / $1,259.70 / $1,732.09	Professional		$997.26	$1,259.70	$1,732.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.97 / $620.97 / $1,301.65	Facility		$620.97	$620.97	$1,301.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $620.97 / $5,455.61	Professional		$453.31	$620.97	$5,455.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $548.61 / $669.04 / $836.30	Professional		$548.61	$669.04	$836.30
United Facility/Professional Professional Modifier Low / Median / High Price $349.14 / $508.59 / $692.05	Professional		$349.14	$508.59	$692.05