Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.44 / $817.73 / $850.43	Facility		$468.44	$817.73	$850.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.29 / $686.89 / $850.43	Professional		$613.29	$686.89	$850.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,069.60 / $1,718.25 / $1,805.88	Facility		$1,069.60	$1,718.25	$1,805.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.64 / $773.99 / $803.66	Professional		$645.64	$773.99	$803.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,288.69 / $1,868.60 / $2,491.46	Facility		$1,288.69	$1,868.60	$2,491.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,481.99 / $2,061.90 / $2,835.11	Professional		$1,481.99	$2,061.90	$2,835.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.11 / $908.11 / $2,013.58	Facility		$908.11	$908.11	$2,013.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $908.11 / $7,011.36	Professional		$662.92	$908.11	$7,011.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $897.96 / $1,095.08 / $1,368.85	Professional		$897.96	$1,095.08	$1,368.85
United Facility/Professional Professional Modifier Low / Median / High Price $571.48 / $857.21 / $1,374.60	Professional		$571.48	$857.21	$1,374.60