Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $426.58	Facility		$407.38	$407.38	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $758.58	Professional		$371.54	$436.52	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $870.96 / $933.25	Facility		$794.33	$870.96	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $524.81	Professional		$407.38	$512.86	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,174.90 / $1,513.56	Facility		$645.65	$1,174.90	$1,513.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,380.38	Professional		$870.96	$1,071.52	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,513.56 / $1,513.56	Facility		$588.84	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $831.76 / $4,570.88	Professional		$426.58	$831.76	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $741.31	Professional		$446.68	$575.44	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $575.44 / $660.69	Facility		$501.19	$575.44	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $660.69	Professional		$288.40	$426.58	$660.69