Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.50 / $974.74 / $1,013.73	Facility		$661.50	$974.74	$1,013.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.27 / $988.88 / $1,085.83	Professional		$870.27	$988.88	$1,085.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,274.99 / $2,048.17 / $2,152.63	Facility		$1,274.99	$2,048.17	$2,152.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $957.96 / $1,092.98 / $1,111.77	Professional		$957.96	$1,092.98	$1,111.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,536.13 / $2,852.00 / $3,280.68	Facility		$1,536.13	$2,852.00	$3,280.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,945.76 / $2,546.42 / $3,379.48	Professional		$1,945.76	$2,546.42	$3,379.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,317.79 / $1,317.79 / $2,400.19	Facility		$1,317.79	$1,317.79	$2,400.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $1,317.79 / $9,786.34	Professional		$961.99	$1,317.79	$9,786.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,070.37 / $1,305.33 / $1,631.66	Professional		$1,070.37	$1,305.33	$1,631.66
United Facility/Professional Professional Modifier Low / Median / High Price $681.20 / $1,021.81 / $1,399.02	Professional		$681.20	$1,021.81	$1,399.02