Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.16 / $831.60 / $864.86	Facility		$635.16	$831.60	$864.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.47 / $921.58 / $1,133.14	Professional		$742.47	$921.58	$1,133.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,087.76 / $1,747.40 / $1,836.52	Facility		$1,087.76	$1,747.40	$1,836.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $852.07 / $1,049.50 / $1,065.08	Professional		$852.07	$1,049.50	$1,065.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,310.55 / $2,463.83 / $3,320.06	Facility		$1,310.55	$2,463.83	$3,320.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,747.40 / $2,358.98 / $2,976.26	Professional		$1,747.40	$2,358.98	$2,976.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $2,292.34	Facility		$1,375.24	$1,375.24	$2,292.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,375.24 / $9,607.90	Professional		$1,003.93	$1,375.24	$9,607.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $913.19 / $1,113.65 / $1,392.06	Professional		$913.19	$1,113.65	$1,392.06
United Facility/Professional Professional Modifier Low / Median / High Price $581.16 / $934.23 / $1,343.35	Professional		$581.16	$934.23	$1,343.35