Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.10 / $844.59 / $878.37	Facility		$645.10	$844.59	$878.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.08 / $933.58 / $1,261.26	Professional		$754.08	$933.58	$1,261.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,104.75 / $1,774.70 / $1,865.21	Facility		$1,104.75	$1,774.70	$1,865.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $906.00 / $1,065.89 / $1,185.51	Professional		$906.00	$1,065.89	$1,185.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,331.03 / $2,502.33 / $3,371.93	Facility		$1,331.03	$2,502.33	$3,371.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,774.70 / $2,395.85 / $3,312.76	Professional		$1,774.70	$2,395.85	$3,312.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,530.70 / $1,530.70 / $2,311.42	Facility		$1,530.70	$1,530.70	$2,311.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.41 / $1,357.34 / $9,687.91	Professional		$1,117.41	$1,357.34	$9,687.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $927.46 / $1,131.05 / $1,413.81	Professional		$927.46	$1,131.05	$1,413.81
United Facility/Professional Professional Modifier Low / Median / High Price $590.25 / $885.38 / $1,364.34	Professional		$590.25	$885.38	$1,364.34