Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.24 / $489.76 / $499.44	Facility		$480.24	$489.76	$499.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.17 / $529.49 / $630.42	Professional		$437.17	$529.49	$630.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $628.16 / $1,009.09 / $1,060.55	Facility		$628.16	$1,009.09	$1,060.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.27 / $602.98 / $602.98	Professional		$492.27	$602.98	$602.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $756.82 / $1,422.82 / $1,892.42	Facility		$756.82	$1,422.82	$1,892.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,005.35 / $1,360.17 / $1,665.00	Professional		$1,005.35	$1,360.17	$1,665.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $765.11 / $1,311.51	Facility		$765.11	$765.11	$1,311.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.53 / $765.11 / $5,496.92	Professional		$558.53	$765.11	$5,496.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $518.99 / $632.91 / $791.15	Professional		$518.99	$632.91	$791.15
United Facility/Professional Professional Modifier Low / Median / High Price $335.62 / $520.23 / $771.82	Professional		$335.62	$520.23	$771.82