Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.40 / $821.42 / $854.28	Facility		$627.40	$821.42	$854.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.39 / $906.90 / $1,015.72	Professional		$733.39	$906.90	$1,015.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,074.44 / $1,726.01 / $1,814.04	Facility		$1,074.44	$1,726.01	$1,814.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.29 / $1,036.65 / $1,054.47	Professional		$807.29	$1,036.65	$1,054.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,294.51 / $2,433.67 / $3,048.98	Facility		$1,294.51	$2,433.67	$3,048.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,639.71 / $2,191.44 / $2,847.92	Professional		$1,639.71	$2,191.44	$2,847.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.72 / $1,232.72 / $2,292.42	Facility		$1,232.72	$1,232.72	$2,292.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.89 / $1,232.72 / $9,608.24	Professional		$899.89	$1,232.72	$9,608.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $902.02 / $1,100.03 / $1,375.03	Professional		$902.02	$1,100.03	$1,375.03
United Facility/Professional Professional Modifier Low / Median / High Price $574.05 / $861.09 / $1,326.91	Professional		$574.05	$861.09	$1,326.91