Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.84 / $769.40 / $797.90	Facility		$648.84	$769.40	$797.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.00 / $769.40 / $799.70	Professional		$661.00	$769.40	$799.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $931.85 / $1,496.95 / $1,573.29	Facility		$931.85	$1,496.95	$1,573.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.15 / $778.86 / $804.54	Professional		$700.15	$778.86	$804.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,122.71 / $2,084.46 / $2,397.75	Facility		$1,122.71	$2,084.46	$2,397.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,422.10 / $1,861.13 / $2,469.96	Professional		$1,422.10	$1,861.13	$2,469.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.10 / $831.10 / $1,754.24	Facility		$831.10	$831.10	$1,754.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.70 / $1,091.08 / $1,496.95	Professional		$606.70	$1,091.08	$1,496.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.87 / $731.23 / $956.22	Professional		$497.87	$731.23	$956.22