Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $758.58	Facility		$724.44	$724.44	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,230.27	Professional		$602.56	$724.44	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $1,513.56	Facility		$1,288.25	$1,445.44	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $741.31 / $758.58	Professional		$660.69	$741.31	$758.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $2,454.71	Facility		$1,071.52	$1,905.46	$2,454.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,238.72	Professional		$1,412.54	$1,778.28	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,238.72 / $2,238.72	Facility		$912.01	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,445.44 / $6,760.83	Professional		$660.69	$1,445.44	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $1,288.25	Professional		$100.00	$100.00	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $676.08 / $812.83	Facility		$616.60	$676.08	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $933.25	Professional		$467.74	$660.69	$933.25