Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.45 / $787.45 / $818.94	Facility		$601.45	$787.45	$818.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.06 / $870.42 / $1,175.92	Professional		$703.06	$870.42	$1,175.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,030.00 / $1,654.62 / $1,739.01	Facility		$1,030.00	$1,654.62	$1,739.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $844.71 / $993.78 / $1,105.30	Professional		$844.71	$993.78	$1,105.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,240.97 / $2,333.01 / $3,143.78	Facility		$1,240.97	$2,333.01	$3,143.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,654.62 / $2,233.73 / $3,088.62	Professional		$1,654.62	$2,233.73	$3,088.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.14 / $1,427.14 / $2,156.42	Facility		$1,427.14	$1,427.14	$2,156.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,427.14 / $9,038.21	Professional		$1,041.81	$1,427.14	$9,038.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $864.71 / $1,054.53 / $1,318.16	Professional		$864.71	$1,054.53	$1,318.16
United Facility/Professional Professional Modifier Low / Median / High Price $550.32 / $825.47 / $1,272.03	Professional		$550.32	$825.47	$1,272.03