Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.11 / $455.76 / $473.99	Facility		$348.11	$455.76	$473.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.91 / $503.78 / $626.85	Professional		$406.91	$503.78	$626.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $596.14 / $957.66 / $1,006.50	Facility		$596.14	$957.66	$1,006.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.36 / $575.17 / $589.20	Professional		$471.36	$575.17	$589.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $718.25 / $1,350.30 / $1,819.55	Facility		$718.25	$1,350.30	$1,819.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $957.66 / $1,292.83 / $1,646.46	Professional		$957.66	$1,292.83	$1,646.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $694.09 / $1,200.45	Facility		$694.09	$694.09	$1,200.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $694.09 / $5,031.45	Professional		$506.69	$694.09	$5,031.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $500.47 / $610.34 / $762.92	Professional		$500.47	$610.34	$762.92
United Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $512.01 / $736.23	Professional		$318.51	$512.01	$736.23