Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.04 / $709.37 / $719.72	Facility		$692.04	$709.37	$719.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.98 / $796.76 / $894.75	Professional		$629.98	$796.76	$894.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $905.20 / $1,454.14 / $1,528.30	Facility		$905.20	$1,454.14	$1,528.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.37 / $873.36 / $888.37	Professional		$709.37	$873.36	$888.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,090.60 / $2,050.34 / $2,685.82	Facility		$1,090.60	$2,050.34	$2,685.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,426.84 / $1,930.44 / $2,399.33	Professional		$1,426.84	$1,930.44	$2,399.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.63 / $908.63 / $1,912.51	Facility		$908.63	$908.63	$1,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.30 / $908.63 / $8,015.90	Professional		$663.30	$908.63	$8,015.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $747.88 / $912.05 / $1,140.06	Professional		$747.88	$912.05	$1,140.06
United Facility/Professional Professional Modifier Low / Median / High Price $483.64 / $774.29 / $1,117.90	Professional		$483.64	$774.29	$1,117.90