Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.04 / $488.71 / $508.26	Facility		$371.04	$488.71	$508.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.34 / $498.41 / $567.62	Professional		$436.34	$498.41	$567.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.25 / $1,026.90 / $1,079.27	Facility		$639.25	$1,026.90	$1,079.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.29 / $613.05 / $623.60	Professional		$480.29	$613.05	$623.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $770.18 / $1,429.04 / $1,684.22	Facility		$770.18	$1,429.04	$1,684.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $975.56 / $1,275.93 / $1,694.39	Professional		$975.56	$1,275.93	$1,694.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.31 / $660.31 / $1,297.25	Facility		$660.31	$660.31	$1,297.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.03 / $660.31 / $5,437.15	Professional		$482.03	$660.31	$5,437.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $536.64 / $654.45 / $818.06	Professional		$536.64	$654.45	$818.06
United Facility/Professional Professional Modifier Low / Median / High Price $341.54 / $512.30 / $780.86	Professional		$341.54	$512.30	$780.86