Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.44 / $520.35 / $541.16	Facility		$397.44	$520.35	$541.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.58 / $540.12 / $608.02	Professional		$464.58	$540.12	$608.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.64 / $1,093.39 / $1,149.15	Facility		$680.64	$1,093.39	$1,149.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.40 / $656.70 / $667.98	Professional		$511.40	$656.70	$667.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $820.04 / $1,541.68 / $1,804.09	Facility		$820.04	$1,541.68	$1,804.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,038.72 / $1,366.74 / $1,804.09	Professional		$1,038.72	$1,366.74	$1,804.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.79 / $719.79 / $1,392.19	Facility		$719.79	$719.79	$1,392.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.45 / $719.79 / $5,835.09	Professional		$525.45	$719.79	$5,835.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $571.40 / $696.84 / $871.05	Professional		$571.40	$696.84	$871.05
United Facility/Professional Professional Modifier Low / Median / High Price $363.65 / $545.48 / $836.44	Professional		$363.65	$545.48	$836.44