Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $758.58	Facility		$724.44	$724.44	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,318.26	Professional		$645.65	$912.01	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $1,659.59	Facility		$1,412.54	$1,548.82	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $933.25	Professional		$724.44	$870.96	$933.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,089.30 / $2,691.53	Facility		$1,148.15	$2,089.30	$2,691.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,454.71	Professional		$1,548.82	$1,905.46	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,570.40 / $2,570.40	Facility		$912.01	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,380.38 / $7,762.47	Professional		$660.69	$1,380.38	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,318.26	Professional		$794.33	$1,023.29	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $1,122.02	Facility		$630.96	$954.99	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,174.90	Professional		$512.86	$812.83	$1,174.90