Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.19 / $416.59 / $433.25	Facility		$318.19	$416.59	$433.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.94 / $450.93 / $505.04	Professional		$371.94	$450.93	$505.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $544.91 / $875.36 / $920.00	Facility		$544.91	$875.36	$920.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.42 / $525.74 / $532.32	Professional		$409.42	$525.74	$532.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $656.52 / $1,234.26 / $1,516.03	Facility		$656.52	$1,234.26	$1,516.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $831.59 / $1,094.20 / $1,444.34	Professional		$831.59	$1,094.20	$1,444.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.94 / $612.94 / $1,159.67	Facility		$612.94	$612.94	$1,159.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $612.94 / $4,860.54	Professional		$447.45	$612.94	$4,860.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.46 / $557.88 / $697.35	Professional		$457.46	$557.88	$697.35
United Facility/Professional Facility Modifier Low / Median / High Price $577.08 / $577.08 / $672.95	Facility		$577.08	$577.08	$672.95
United Facility/Professional Professional Modifier Low / Median / High Price $291.14 / $436.70 / $672.95	Professional		$291.14	$436.70	$672.95