Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.52 / $486.32 / $504.34	Facility		$287.52	$486.32	$504.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.44 / $424.84 / $504.34	Professional		$376.44	$424.84	$504.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.01 / $946.20 / $994.46	Facility		$589.01	$946.20	$994.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.87 / $463.19 / $481.00	Professional		$385.87	$463.19	$481.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $709.65 / $1,146.92 / $1,371.99	Facility		$709.65	$1,146.92	$1,371.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $898.89 / $1,135.44 / $1,561.23	Professional		$898.89	$1,135.44	$1,561.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $1,108.82	Facility		$494.25	$494.25	$1,108.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $494.25 / $4,278.52	Professional		$360.80	$494.25	$4,278.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $494.49 / $603.04 / $753.80	Professional		$494.49	$603.04	$753.80
United Facility/Professional Professional Modifier Low / Median / High Price $304.05 / $426.65 / $623.78	Professional		$304.05	$426.65	$623.78