Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.84 / $697.70 / $725.60	Facility		$501.84	$697.70	$725.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.91 / $769.50 / $911.31	Professional		$622.91	$769.50	$911.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.60 / $1,466.03 / $1,540.80	Facility		$912.60	$1,466.03	$1,540.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.69 / $829.19 / $856.57	Professional		$685.69	$829.19	$856.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,099.52 / $2,067.10 / $2,735.55	Facility		$1,099.52	$2,067.10	$2,735.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,453.26 / $1,966.18 / $2,418.94	Professional		$1,453.26	$1,966.18	$2,418.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,105.99 / $1,105.99 / $1,784.86	Facility		$1,105.99	$1,105.99	$1,784.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $1,105.99 / $7,480.88	Professional		$807.37	$1,105.99	$7,480.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $766.15 / $934.33 / $1,167.91	Professional		$766.15	$934.33	$1,167.91
United Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $731.39 / $1,147.95	Professional		$487.59	$731.39	$1,147.95