Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.70 / $707.00 / $735.27	Facility		$539.70	$707.00	$735.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.23 / $830.58 / $966.86	Professional		$631.23	$830.58	$966.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $924.77 / $1,485.57 / $1,561.33	Facility		$924.77	$1,485.57	$1,561.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $727.02 / $891.75 / $908.78	Professional		$727.02	$891.75	$908.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,114.18 / $2,094.65 / $2,822.58	Facility		$1,114.18	$2,094.65	$2,822.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,485.57 / $2,005.52 / $2,539.50	Professional		$1,485.57	$2,005.52	$2,539.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,900.41	Facility		$1,232.20	$1,232.20	$1,900.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $1,232.20 / $7,965.19	Professional		$899.51	$1,232.20	$7,965.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $776.37 / $946.80 / $1,183.50	Professional		$776.37	$946.80	$1,183.50
United Facility/Professional Professional Modifier Low / Median / High Price $494.09 / $823.08 / $1,188.46	Professional		$494.09	$823.08	$1,188.46