Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.97 / $548.54 / $570.48	Facility		$418.97	$548.54	$570.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.75 / $562.80 / $640.96	Professional		$489.75	$562.80	$640.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $717.51 / $1,152.61 / $1,211.40	Facility		$717.51	$1,152.61	$1,211.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $539.11 / $692.27 / $704.17	Professional		$539.11	$692.27	$704.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $864.47 / $1,613.67 / $1,901.82	Facility		$864.47	$1,613.67	$1,901.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,152.61 / $1,440.78 / $1,901.82	Professional		$1,152.61	$1,440.78	$1,901.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.21 / $812.21 / $1,512.71	Facility		$812.21	$812.21	$1,512.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $812.21 / $6,340.23	Professional		$592.91	$812.21	$6,340.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $602.36 / $734.59 / $918.23	Professional		$602.36	$734.59	$918.23
United Facility/Professional Professional Modifier Low / Median / High Price $383.35 / $575.03 / $911.99	Professional		$383.35	$575.03	$911.99