Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.54 / $777.56 / $808.66	Facility		$592.54	$777.56	$808.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.23 / $844.07 / $945.35	Professional		$694.23	$844.07	$945.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,017.07 / $1,633.84 / $1,717.17	Facility		$1,017.07	$1,633.84	$1,717.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.18 / $979.06 / $979.06	Professional		$764.18	$979.06	$979.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,225.38 / $2,303.71 / $2,837.74	Facility		$1,225.38	$2,303.71	$2,837.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,552.15 / $2,042.30 / $2,695.84	Professional		$1,552.15	$2,042.30	$2,695.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.60 / $1,018.60 / $2,075.67	Facility		$1,018.60	$1,018.60	$2,075.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $1,018.60 / $8,699.76	Professional		$743.58	$1,018.60	$8,699.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $853.84 / $1,041.28 / $1,301.59	Professional		$853.84	$1,041.28	$1,301.59
United Facility/Professional Professional Modifier Low / Median / High Price $543.40 / $834.43 / $1,253.19	Professional		$543.40	$834.43	$1,253.19