Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.27 / $547.09 / $568.97	Facility		$405.27	$547.09	$568.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.45 / $633.84 / $737.81	Professional		$488.45	$633.84	$737.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $715.60 / $1,149.56 / $1,208.19	Facility		$715.60	$1,149.56	$1,208.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.21 / $669.63 / $686.95	Professional		$540.21	$669.63	$686.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $862.17 / $1,620.88 / $2,184.16	Facility		$862.17	$1,620.88	$2,184.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,149.56 / $1,551.91 / $1,937.91	Professional		$1,149.56	$1,551.91	$1,937.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.43 / $895.43 / $1,428.89	Facility		$895.43	$895.43	$1,428.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $895.43 / $5,988.90	Professional		$653.66	$895.43	$5,988.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $600.74 / $732.61 / $915.76	Professional		$600.74	$732.61	$915.76
United Facility/Professional Professional Modifier Low / Median / High Price $382.34 / $623.52 / $857.13	Professional		$382.34	$623.52	$857.13