Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.98 / $992.55 / $1,029.31	Facility		$643.98	$992.55	$1,029.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.71 / $1,029.31 / $1,250.38	Professional		$852.71	$1,029.31	$1,250.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.10 / $1,931.10 / $2,029.59	Facility		$1,202.10	$1,931.10	$2,029.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $903.22 / $1,037.44 / $1,135.66	Professional		$903.22	$1,037.44	$1,135.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,448.33 / $2,606.98 / $3,669.09	Facility		$1,448.33	$2,606.98	$3,669.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,931.10 / $2,606.98 / $3,259.16	Professional		$1,931.10	$2,606.98	$3,259.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.01 / $1,107.01 / $2,288.25	Facility		$1,107.01	$1,107.01	$2,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $1,477.31 / $1,954.10	Professional		$808.12	$1,477.31	$1,954.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,009.19 / $1,230.73 / $1,538.41	Professional		$1,009.19	$1,230.73	$1,538.41
United Facility/Professional Professional Modifier Low / Median / High Price $642.27 / $957.50 / $1,487.06	Professional		$642.27	$957.50	$1,487.06