Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.57 / $449.63 / $467.61	Facility		$257.57	$449.63	$467.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.50 / $404.17 / $467.61	Professional		$381.50	$404.17	$467.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.12 / $944.77 / $992.95	Facility		$588.12	$944.77	$992.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.71 / $425.58 / $564.58	Professional		$414.71	$425.58	$564.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $708.58 / $1,158.83 / $1,369.92	Facility		$708.58	$1,158.83	$1,369.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $839.17 / $1,133.72 / $1,558.87	Professional		$839.17	$1,133.72	$1,558.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.94 / $511.94 / $1,107.16	Facility		$511.94	$511.94	$1,107.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $523.95 / $4,055.02	Professional		$373.72	$523.95	$4,055.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $493.73 / $602.12 / $752.65	Professional		$493.73	$602.12	$752.65
United Facility/Professional Professional Modifier Low / Median / High Price $314.22 / $471.34 / $755.82	Professional		$314.22	$471.34	$755.82