Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.57 / $986.61 / $1,026.07	Facility		$753.57	$986.61	$1,026.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.87 / $1,091.46 / $1,335.24	Professional		$880.87	$1,091.46	$1,335.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,290.50 / $2,073.10 / $2,178.83	Facility		$1,290.50	$2,073.10	$2,178.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,004.02 / $1,245.10 / $1,282.47	Professional		$1,004.02	$1,245.10	$1,282.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,554.83 / $2,923.07 / $3,938.89	Facility		$1,554.83	$2,923.07	$3,938.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,073.10 / $2,798.69 / $3,507.07	Professional		$2,073.10	$2,798.69	$3,507.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,295.39 / $1,295.39 / $2,671.96	Facility		$1,295.39	$1,295.39	$2,671.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $1,295.39 / $11,198.98	Professional		$945.63	$1,295.39	$11,198.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,083.41 / $1,321.24 / $1,651.55	Professional		$1,083.41	$1,321.24	$1,651.55
United Facility/Professional Professional Modifier Low / Median / High Price $689.50 / $1,108.36 / $1,593.75	Professional		$689.50	$1,108.36	$1,593.75