Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.61 / $536.28 / $557.73	Facility		$397.61	$536.28	$557.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.80 / $618.22 / $719.64	Professional		$478.80	$618.22	$719.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $701.46 / $1,126.84 / $1,184.32	Facility		$701.46	$1,126.84	$1,184.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.14 / $656.97 / $676.42	Professional		$541.14	$656.97	$676.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $845.14 / $1,588.86 / $2,141.02	Facility		$845.14	$1,588.86	$2,141.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,126.84 / $1,521.25 / $1,890.17	Professional		$1,126.84	$1,521.25	$1,890.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.73 / $957.73 / $1,402.05	Facility		$957.73	$957.73	$1,402.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $957.73 / $5,876.40	Professional		$699.14	$957.73	$5,876.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $588.89 / $718.17 / $897.71	Professional		$588.89	$718.17	$897.71
United Facility/Professional Facility Modifier Low / Median / High Price $595.23 / $595.23 / $595.23	Facility		$595.23	$595.23	$595.23
United Facility/Professional Professional Modifier Low / Median / High Price $374.78 / $562.17 / $840.91	Professional		$374.78	$562.17	$840.91