Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.15 / $640.41 / $666.04	Facility		$489.15	$640.41	$666.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.79 / $657.07 / $748.32	Professional		$571.79	$657.07	$748.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $837.69 / $1,345.68 / $1,414.31	Facility		$837.69	$1,345.68	$1,414.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.41 / $808.22 / $822.12	Professional		$629.41	$808.22	$822.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,009.26 / $1,883.95 / $2,260.98	Facility		$1,009.26	$1,883.95	$2,260.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,345.68 / $1,682.10 / $2,220.37	Professional		$1,345.68	$1,682.10	$2,220.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.50 / $870.50 / $1,824.41	Facility		$870.50	$870.50	$1,824.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.47 / $870.50 / $7,646.64	Professional		$635.47	$870.50	$7,646.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $703.26 / $857.64 / $1,072.05	Professional		$703.26	$857.64	$1,072.05
United Facility/Professional Professional Modifier Low / Median / High Price $447.56 / $671.35 / $1,034.53	Professional		$447.56	$671.35	$1,034.53