Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.91 / $549.73 / $571.72	Facility		$393.91	$549.73	$571.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.81 / $601.76 / $721.22	Professional		$490.81	$601.76	$721.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $719.06 / $1,155.11 / $1,214.03	Facility		$719.06	$1,155.11	$1,214.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.32 / $650.86 / $677.90	Professional		$542.32	$650.86	$677.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $866.34 / $1,628.72 / $2,164.94	Facility		$866.34	$1,628.72	$2,164.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,150.13 / $1,556.05 / $1,905.95	Professional		$1,150.13	$1,556.05	$1,905.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.29 / $875.29 / $1,384.43	Facility		$875.29	$875.29	$1,384.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $875.29 / $5,802.56	Professional		$638.96	$875.29	$5,802.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $603.66 / $736.18 / $920.22	Professional		$603.66	$736.18	$920.22
United Facility/Professional Professional Modifier Low / Median / High Price $384.18 / $576.28 / $833.09	Professional		$384.18	$576.28	$833.09