Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.61 / $753.01 / $763.99	Facility		$734.61	$753.01	$763.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.74 / $851.52 / $953.70	Professional		$668.74	$851.52	$953.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $960.89 / $1,543.60 / $1,622.32	Facility		$960.89	$1,543.60	$1,622.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.01 / $927.08 / $943.02	Professional		$753.01	$927.08	$943.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,157.70 / $2,176.48 / $2,912.30	Facility		$1,157.70	$2,176.48	$2,912.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,520.87 / $2,057.65 / $2,546.94	Professional		$1,520.87	$2,057.65	$2,546.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,997.15	Facility		$1,260.83	$1,260.83	$1,997.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $1,260.83 / $8,370.65	Professional		$920.41	$1,260.83	$8,370.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $793.89 / $968.16 / $1,210.20	Professional		$793.89	$968.16	$1,210.20
United Facility/Professional Professional Modifier Low / Median / High Price $513.39 / $770.08 / $1,160.27	Professional		$513.39	$770.08	$1,160.27