Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.09 / $777.89 / $809.00	Facility		$525.09	$777.89	$809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.52 / $809.00 / $1,026.60	Professional		$694.52	$809.00	$1,026.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,017.49 / $1,634.53 / $1,717.89	Facility		$1,017.49	$1,634.53	$1,717.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.51 / $867.59 / $939.59	Professional		$764.51	$867.59	$939.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,225.90 / $2,206.62 / $3,081.68	Facility		$1,225.90	$2,206.62	$3,081.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,634.53 / $2,206.62 / $2,696.97	Professional		$1,634.53	$2,206.62	$2,696.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.63 / $902.63 / $1,915.46	Facility		$902.63	$902.63	$1,915.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $902.63 / $7,789.51	Professional		$658.92	$902.63	$7,789.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $854.21 / $1,041.72 / $1,302.15	Professional		$854.21	$1,041.72	$1,302.15
United Facility/Professional Professional Modifier Low / Median / High Price $543.63 / $815.45 / $1,110.52	Professional		$543.63	$815.45	$1,110.52