Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.46 / $864.51 / $899.09	Facility		$600.46	$864.51	$899.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.85 / $899.09 / $1,091.08	Professional		$771.85	$899.09	$1,091.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,130.80 / $1,816.54 / $1,909.18	Facility		$1,130.80	$1,816.54	$1,909.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $849.63 / $992.14 / $1,025.56	Professional		$849.63	$992.14	$1,025.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,362.41 / $2,452.33 / $3,275.20	Facility		$1,362.41	$2,452.33	$3,275.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,739.95 / $2,354.05 / $2,997.29	Professional		$1,739.95	$2,354.05	$2,997.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.18 / $1,324.18 / $2,128.75	Facility		$1,324.18	$1,324.18	$2,128.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $1,324.18 / $8,866.15	Professional		$966.65	$1,324.18	$8,866.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $949.32 / $1,157.71 / $1,447.13	Professional		$949.32	$1,157.71	$1,447.13
United Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.16 / $923.00 / $1,307.58	Professional		$604.16	$923.00	$1,307.58