Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.59 / $534.95 / $556.34	Facility		$408.59	$534.95	$556.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.62 / $619.66 / $721.31	Professional		$477.62	$619.66	$721.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.73 / $1,124.06 / $1,181.39	Facility		$699.73	$1,124.06	$1,181.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.14 / $675.11 / $682.97	Professional		$528.14	$675.11	$682.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $843.05 / $1,584.92 / $2,135.71	Facility		$843.05	$1,584.92	$2,135.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,124.06 / $1,517.48 / $1,894.58	Professional		$1,124.06	$1,517.48	$1,894.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.38 / $702.38 / $1,453.97	Facility		$702.38	$702.38	$1,453.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $702.38 / $6,094.02	Professional		$512.74	$702.38	$6,094.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $527.76 / $655.55 / $804.51	Professional		$527.76	$655.55	$804.51
United Facility/Professional Professional Modifier Low / Median / High Price $373.85 / $600.97 / $864.44	Professional		$373.85	$600.97	$864.44