Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.95 / $993.65 / $1,033.39	Facility		$758.95	$993.65	$1,033.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.16 / $1,166.51 / $1,323.45	Professional		$887.16	$1,166.51	$1,323.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,299.72 / $2,087.90 / $2,194.38	Facility		$1,299.72	$2,087.90	$2,194.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $995.18 / $1,254.00 / $1,275.56	Professional		$995.18	$1,254.00	$1,275.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,565.93 / $2,943.94 / $3,967.01	Facility		$1,565.93	$2,943.94	$3,967.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,087.90 / $2,818.67 / $3,476.12	Professional		$2,087.90	$2,818.67	$3,476.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,606.19 / $1,606.19 / $2,714.98	Facility		$1,606.19	$1,606.19	$2,714.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.52 / $1,606.19 / $11,379.30	Professional		$1,172.52	$1,606.19	$11,379.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,091.14 / $1,330.67 / $1,663.33	Professional		$1,091.14	$1,330.67	$1,663.33
United Facility/Professional Professional Modifier Low / Median / High Price $694.42 / $1,118.45 / $1,605.12	Professional		$694.42	$1,118.45	$1,605.12