Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.67 / $758.96 / $789.31	Facility		$579.67	$758.96	$789.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.62 / $838.92 / $1,133.36	Professional		$677.62	$838.92	$1,133.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.73 / $1,594.75 / $1,676.08	Facility		$992.73	$1,594.75	$1,676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.14 / $957.82 / $1,065.30	Professional		$814.14	$957.82	$1,065.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,196.06 / $2,248.60 / $3,030.03	Facility		$1,196.06	$2,248.60	$3,030.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,594.75 / $2,152.91 / $2,976.88	Professional		$1,594.75	$2,152.91	$2,976.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.64 / $1,020.64 / $2,079.28	Facility		$1,020.64	$1,020.64	$2,079.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.07 / $1,020.64 / $8,714.90	Professional		$745.07	$1,020.64	$8,714.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $833.42 / $1,016.37 / $1,270.46	Professional		$833.42	$1,016.37	$1,270.46
United Facility/Professional Professional Modifier Low / Median / High Price $530.40 / $905.73 / $1,261.82	Professional		$530.40	$905.73	$1,261.82