Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.27 / $606.37 / $955.03	Facility		$428.27	$606.37	$955.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.94 / $606.37 / $655.19	Professional		$520.94	$606.37	$655.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.40 / $1,179.76 / $1,239.93	Facility		$734.40	$1,179.76	$1,239.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.79 / $574.77 / $713.17	Professional		$551.79	$574.77	$713.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $884.82 / $1,649.49 / $1,944.05	Facility		$884.82	$1,649.49	$1,944.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,120.77 / $1,472.76 / $1,946.60	Professional		$1,120.77	$1,472.76	$1,946.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.22 / $736.22 / $1,550.58	Facility		$736.22	$736.22	$1,550.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.44 / $736.22 / $6,498.95	Professional		$537.44	$736.22	$6,498.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $616.54 / $751.88 / $939.85	Professional		$616.54	$751.88	$939.85
United Facility/Professional Professional Modifier Low / Median / High Price $392.38 / $587.79 / $899.49	Professional		$392.38	$587.79	$899.49