Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.15 / $730.11 / $759.31	Facility		$531.15	$730.11	$759.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.86 / $770.66 / $1,030.41	Professional		$651.86	$770.66	$1,030.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $955.01 / $1,534.15 / $1,612.39	Facility		$955.01	$1,534.15	$1,612.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.97 / $877.62 / $943.00	Professional		$745.97	$877.62	$943.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,150.60 / $2,118.78 / $2,914.89	Facility		$1,150.60	$2,118.78	$2,914.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,534.15 / $2,071.10 / $2,706.42	Professional		$1,534.15	$2,071.10	$2,706.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.06 / $913.06 / $1,868.16	Facility		$913.06	$913.06	$1,868.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.53 / $913.06 / $7,830.04	Professional		$666.53	$913.06	$7,830.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $801.73 / $977.72 / $1,222.15	Professional		$801.73	$977.72	$1,222.15
United Facility/Professional Professional Modifier Low / Median / High Price $510.24 / $765.37 / $1,123.34	Professional		$510.24	$765.37	$1,123.34