Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.50 / $653.98 / $680.13	Facility		$499.50	$653.98	$680.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.89 / $722.88 / $853.90	Professional		$583.89	$722.88	$853.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $855.42 / $1,374.17 / $1,444.25	Facility		$855.42	$1,374.17	$1,444.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.73 / $825.33 / $839.51	Professional		$642.73	$825.33	$839.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,030.63 / $1,937.58 / $2,563.25	Facility		$1,030.63	$1,937.58	$2,563.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,361.73 / $1,842.33 / $2,267.38	Professional		$1,361.73	$1,842.33	$2,267.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $1,747.08	Facility		$1,036.33	$1,036.33	$1,747.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.53 / $1,036.33 / $7,322.54	Professional		$756.53	$1,036.33	$7,322.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $718.13 / $875.78 / $1,094.72	Professional		$718.13	$875.78	$1,094.72
United Facility/Professional Professional Modifier Low / Median / High Price $457.04 / $722.36 / $1,056.42	Professional		$457.04	$722.36	$1,056.42