Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.90 / $561.95 / $582.76	Facility		$473.90	$561.95	$582.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.78 / $561.95 / $584.05	Professional		$482.78	$561.95	$584.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.60 / $1,093.33 / $1,149.09	Facility		$680.60	$1,093.33	$1,149.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.36 / $530.48 / $635.91	Professional		$511.36	$530.48	$635.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $820.01 / $1,522.37 / $1,751.29	Facility		$820.01	$1,522.37	$1,751.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,038.67 / $1,359.26 / $1,804.01	Professional		$1,038.67	$1,359.26	$1,804.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.01 / $607.01 / $1,281.25	Facility		$607.01	$607.01	$1,281.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.12 / $789.33 / $1,093.33	Professional		$443.12	$789.33	$1,093.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $247.54 / $313.96 / $377.36	Professional		$247.54	$313.96	$377.36
United Facility/Professional Professional Modifier Low / Median / High Price $323.08 / $492.98 / $698.39	Professional		$323.08	$492.98	$698.39