Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $371.54	Facility		$354.81	$354.81	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $630.96	Professional		$323.59	$371.54	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $758.58 / $812.83	Facility		$691.83	$758.58	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $457.09	Professional		$354.81	$446.68	$457.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,023.29 / $1,318.26	Facility		$562.34	$1,023.29	$1,318.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,202.26	Professional		$758.58	$933.25	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,318.26 / $1,318.26	Facility		$489.78	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $707.95 / $3,890.45	Professional		$354.81	$707.95	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $645.65	Professional		$389.05	$501.19	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $501.19 / $575.44	Facility		$489.78	$501.19	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $575.44	Professional		$251.19	$371.54	$575.44