Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.86 / $488.55 / $508.09	Facility		$279.86	$488.55	$508.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.90 / $436.18 / $508.09	Professional		$409.90	$436.18	$508.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.03 / $1,026.55 / $1,078.90	Facility		$639.03	$1,026.55	$1,078.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.52 / $462.41 / $480.14	Professional		$431.52	$462.41	$480.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $769.91 / $1,283.53 / $1,488.50	Facility		$769.91	$1,283.53	$1,488.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $911.86 / $1,231.85 / $1,693.81	Professional		$911.86	$1,231.85	$1,693.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.34 / $496.34 / $1,202.99	Facility		$496.34	$496.34	$1,202.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $545.19 / $4,060.95	Professional		$362.33	$545.19	$4,060.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $536.47 / $654.24 / $817.80	Professional		$536.47	$654.24	$817.80
United Facility/Professional Professional Modifier Low / Median / High Price $341.42 / $512.14 / $676.75	Professional		$341.42	$512.14	$676.75