Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $501.19	Facility		$489.78	$489.78	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $831.76	Professional		$380.19	$446.68	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $954.99 / $1,023.29	Facility		$870.96	$954.99	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $478.63	Professional		$389.05	$467.74	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,288.25 / $1,659.59	Facility		$707.95	$1,288.25	$1,659.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,513.56	Professional		$954.99	$1,174.90	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,412.54 / $1,412.54	Facility		$489.78	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $794.33 / $4,265.80	Professional		$363.08	$794.33	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $812.83	Professional		$489.78	$630.96	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $446.68 / $489.78	Facility		$389.05	$446.68	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $602.56	Professional		$269.15	$426.58	$602.56