Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.16 / $422.41 / $422.41	Facility		$406.16	$422.41	$422.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.74 / $444.73 / $505.75	Professional		$369.74	$444.73	$505.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $531.27 / $853.44 / $896.97	Facility		$531.27	$853.44	$896.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.17 / $481.70 / $510.00	Professional		$399.17	$481.70	$510.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $640.08 / $1,203.34 / $1,518.14	Facility		$640.08	$1,203.34	$1,518.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $810.77 / $1,091.17 / $1,408.18	Professional		$810.77	$1,091.17	$1,408.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.74 / $528.74 / $1,029.38	Facility		$528.74	$528.74	$1,029.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.98 / $528.74 / $4,314.43	Professional		$385.98	$528.74	$4,314.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $420.84 / $513.22 / $641.52	Professional		$420.84	$513.22	$641.52
United Facility/Professional Professional Modifier Low / Median / High Price $283.85 / $425.77 / $612.29	Professional		$283.85	$425.77	$612.29