Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.16 / $953.27 / $991.40	Facility		$663.16	$953.27	$991.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.11 / $991.40 / $1,296.57	Professional		$851.11	$991.40	$1,296.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,246.90 / $2,003.06 / $2,105.21	Facility		$1,246.90	$2,003.06	$2,105.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $936.88 / $1,095.74 / $1,218.71	Professional		$936.88	$1,095.74	$1,218.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,502.30 / $2,704.13 / $3,805.81	Facility		$1,502.30	$2,704.13	$3,805.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,003.06 / $2,704.13 / $3,405.53	Professional		$2,003.06	$2,704.13	$3,405.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,573.58 / $1,573.58 / $2,376.62	Facility		$1,573.58	$1,573.58	$2,376.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,573.58 / $9,961.16	Professional		$1,148.71	$1,573.58	$9,961.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,046.81 / $1,276.59 / $1,595.75	Professional		$1,046.81	$1,276.59	$1,595.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.08 / $1,261.08 / $1,261.08	Facility		$1,261.08	$1,261.08	$1,261.08
United Facility/Professional Professional Modifier Low / Median / High Price $666.20 / $999.31 / $1,402.54	Professional		$666.20	$999.31	$1,402.54