Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.98 / $416.32 / $432.97	Facility		$317.98	$416.32	$432.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.70 / $460.19 / $554.63	Professional		$371.70	$460.19	$554.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $544.54 / $874.78 / $919.39	Facility		$544.54	$874.78	$919.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.06 / $525.40 / $534.42	Professional		$417.06	$525.40	$534.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $656.09 / $1,233.44 / $1,662.08	Facility		$656.09	$1,233.44	$1,662.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $874.78 / $1,180.95 / $1,456.77	Professional		$874.78	$1,180.95	$1,456.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $1,145.88	Facility		$673.11	$673.11	$1,145.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $673.11 / $4,802.74	Professional		$491.37	$673.11	$4,802.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.16 / $557.52 / $696.90	Professional		$457.16	$557.52	$696.90
United Facility/Professional Professional Modifier Low / Median / High Price $290.94 / $436.42 / $669.02	Professional		$290.94	$436.42	$669.02