Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.89 / $612.74 / $878.39	Facility		$449.89	$612.74	$878.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.45 / $440.74 / $612.74	Professional		$371.45	$440.74	$612.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $544.87 / $875.30 / $919.94	Facility		$544.87	$875.30	$919.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.12 / $411.12 / $495.89	Professional		$411.12	$411.12	$495.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $656.48 / $1,148.81 / $1,312.93	Facility		$656.48	$1,148.81	$1,312.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $831.54 / $1,050.35 / $1,444.25	Professional		$831.54	$1,050.35	$1,444.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $1,025.75	Facility		$488.53	$488.53	$1,025.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $629.79 / $906.65	Professional		$356.63	$629.79	$906.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $410.96 / $510.48 / $626.47	Professional		$410.96	$510.48	$626.47
United Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $409.38 / $746.00	Professional		$277.20	$409.38	$746.00