Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.50 / $467.07 / $484.37	Facility		$294.50	$467.07	$484.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.50 / $467.07 / $535.28	Professional		$294.50	$467.07	$535.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $565.69 / $908.74 / $955.09	Facility		$565.69	$908.74	$955.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.04 / $426.64 / $492.70	Professional		$425.04	$426.64	$492.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $681.56 / $1,224.38 / $1,399.30	Facility		$681.56	$1,224.38	$1,399.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $863.30 / $1,093.20 / $1,499.42	Professional		$863.30	$1,093.20	$1,499.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $1,064.93	Facility		$510.00	$510.00	$1,064.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $510.00 / $1,595.80	Professional		$372.30	$510.00	$1,595.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $474.90 / $579.15 / $723.93	Professional		$474.90	$579.15	$723.93
United Facility/Professional Professional Modifier Low / Median / High Price $302.24 / $436.31 / $599.09	Professional		$302.24	$436.31	$599.09