Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.15 / $755.38 / $783.36	Facility		$522.15	$755.38	$783.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.96 / $783.36 / $855.15	Professional		$648.96	$783.36	$855.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $914.88 / $1,469.68 / $1,544.63	Facility		$914.88	$1,469.68	$1,544.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.40 / $841.17 / $874.87	Professional		$687.40	$841.17	$874.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,102.26 / $2,072.25 / $2,558.94	Facility		$1,102.26	$2,072.25	$2,558.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,396.20 / $1,837.10 / $2,424.96	Professional		$1,396.20	$1,837.10	$2,424.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $897.58 / $897.58 / $1,847.35	Facility		$897.58	$897.58	$1,847.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.23 / $897.58 / $7,742.80	Professional		$655.23	$897.58	$7,742.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $768.06 / $936.66 / $1,170.82	Professional		$768.06	$936.66	$1,170.82
United Facility/Professional Facility Modifier Low / Median / High Price $957.27 / $957.27 / $957.27	Facility		$957.27	$957.27	$957.27
United Facility/Professional Professional Modifier Low / Median / High Price $488.80 / $733.21 / $1,096.64	Professional		$488.80	$733.21	$1,096.64