Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.60 / $550.66 / $572.69	Facility		$420.60	$550.66	$572.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.65 / $608.69 / $744.23	Professional		$491.65	$608.69	$744.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.28 / $1,157.08 / $1,216.08	Facility		$720.28	$1,157.08	$1,216.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.62 / $694.94 / $699.53	Professional		$559.62	$694.94	$699.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $867.81 / $1,631.48 / $2,198.44	Facility		$867.81	$1,631.48	$2,198.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,157.08 / $1,562.06 / $1,954.76	Professional		$1,157.08	$1,562.06	$1,954.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $930.44 / $930.44 / $1,493.42	Facility		$930.44	$930.44	$1,493.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $930.44 / $6,259.40	Professional		$679.22	$930.44	$6,259.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $604.69 / $737.43 / $921.78	Professional		$604.69	$737.43	$921.78
United Facility/Professional Professional Modifier Low / Median / High Price $384.84 / $592.19 / $889.53	Professional		$384.84	$592.19	$889.53