Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $790.22 / $790.22	Facility		$759.83	$790.22	$790.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.69 / $775.38 / $846.42	Professional		$691.69	$775.38	$846.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $993.87 / $1,596.58 / $1,678.01	Facility		$993.87	$1,596.58	$1,678.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $746.75 / $852.21 / $954.08	Professional		$746.75	$852.21	$954.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,197.44 / $2,223.17 / $2,557.34	Facility		$1,197.44	$2,223.17	$2,557.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,516.75 / $1,984.98 / $2,634.36	Professional		$1,516.75	$1,984.98	$2,634.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.63 / $886.63 / $1,870.99	Facility		$886.63	$886.63	$1,870.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.24 / $886.63 / $7,617.62	Professional		$647.24	$886.63	$7,617.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $787.29 / $960.11 / $1,200.13	Professional		$787.29	$960.11	$1,200.13
United Facility/Professional Professional Modifier Low / Median / High Price $531.01 / $796.51 / $1,090.83	Professional		$531.01	$796.51	$1,090.83