Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.39 / $759.83 / $790.22	Facility		$532.39	$759.83	$790.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.39 / $770.84 / $846.42	Professional		$678.39	$770.84	$846.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $993.87 / $1,596.58 / $1,678.01	Facility		$993.87	$1,596.58	$1,678.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $746.75 / $852.21 / $954.08	Professional		$746.75	$852.21	$954.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,197.44 / $2,223.17 / $2,557.34	Facility		$1,197.44	$2,223.17	$2,557.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,516.75 / $1,984.98 / $2,634.36	Professional		$1,516.75	$1,984.98	$2,634.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.63 / $886.63 / $1,870.99	Facility		$886.63	$886.63	$1,870.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.24 / $886.63 / $7,617.62	Professional		$647.24	$886.63	$7,617.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $699.81 / $887.56 / $1,066.78	Professional		$699.81	$887.56	$1,066.78
United Facility/Professional Professional Modifier Low / Median / High Price $531.01 / $796.51 / $1,090.83	Professional		$531.01	$796.51	$1,090.83