Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.98 / $954.49 / $992.66	Facility		$681.98	$954.49	$992.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.19 / $1,022.34 / $1,299.11	Professional		$852.19	$1,022.34	$1,299.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,248.49 / $2,005.61 / $2,107.90	Facility		$1,248.49	$2,005.61	$2,107.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $957.80 / $1,126.83 / $1,221.08	Professional		$957.80	$1,126.83	$1,221.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,504.21 / $2,810.74 / $3,810.66	Facility		$1,504.21	$2,810.74	$3,810.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,005.61 / $2,707.57 / $3,412.21	Professional		$2,005.61	$2,707.57	$3,412.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $2,397.58	Facility		$1,576.65	$1,576.65	$2,397.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,576.65 / $10,048.98	Professional		$1,150.95	$1,576.65	$10,048.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,048.14 / $1,278.22 / $1,597.77	Professional		$1,048.14	$1,278.22	$1,597.77
United Facility/Professional Professional Modifier Low / Median / High Price $667.05 / $1,000.57 / $1,442.35	Professional		$667.05	$1,000.57	$1,442.35