Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.93 / $920.31 / $957.12	Facility		$702.93	$920.31	$957.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.68 / $944.24 / $1,075.35	Professional		$821.68	$944.24	$1,075.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,203.79 / $1,933.80 / $2,032.42	Facility		$1,203.79	$1,933.80	$2,032.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.48 / $1,161.45 / $1,168.71	Professional		$904.48	$1,161.45	$1,168.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,450.35 / $2,707.32 / $3,190.77	Facility		$1,450.35	$2,707.32	$3,190.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,933.80 / $2,417.25 / $3,190.77	Professional		$1,933.80	$2,417.25	$3,190.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.77 / $1,226.77 / $2,486.92	Facility		$1,226.77	$1,226.77	$2,486.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $1,226.77 / $10,423.44	Professional		$895.54	$1,226.77	$10,423.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,010.60 / $1,232.45 / $1,540.56	Professional		$1,010.60	$1,232.45	$1,540.56
United Facility/Professional Professional Modifier Low / Median / High Price $643.16 / $964.75 / $1,486.65	Professional		$643.16	$964.75	$1,486.65