Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.44 / $570.37 / $591.49	Facility		$548.44	$570.37	$591.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.26 / $570.37 / $592.82	Professional		$499.26	$570.37	$592.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $690.79 / $1,109.71 / $1,166.31	Facility		$690.79	$1,109.71	$1,166.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.29 / $659.29 / $876.82	Professional		$659.29	$659.29	$876.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $832.28 / $1,545.22 / $1,777.51	Facility		$832.28	$1,545.22	$1,777.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,054.22 / $1,379.66 / $1,831.02	Professional		$1,054.22	$1,379.66	$1,831.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $616.27 / $1,300.44	Facility		$616.27	$616.27	$1,300.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.88 / $616.27 / $5,294.72	Professional		$449.88	$616.27	$5,294.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $719.98 / $878.03 / $1,097.53	Professional		$719.98	$878.03	$1,097.53
United Facility/Professional Professional Modifier Low / Median / High Price $369.08 / $550.64 / $887.77	Professional		$369.08	$550.64	$887.77