Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.35 / $403.88 / $429.27	Facility		$388.35	$403.88	$429.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.53 / $396.30 / $432.61	Professional		$353.53	$396.30	$432.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $507.97 / $816.01 / $857.63	Facility		$507.97	$816.01	$857.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.96 / $435.47 / $440.91	Professional		$365.96	$435.47	$440.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $612.01 / $1,136.27 / $1,307.06	Facility		$612.01	$1,136.27	$1,307.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $775.21 / $1,014.53 / $1,346.42	Professional		$775.21	$1,014.53	$1,346.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.23 / $525.23 / $956.26	Facility		$525.23	$525.23	$956.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.42 / $525.23 / $3,892.58	Professional		$383.42	$525.23	$3,892.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $383.12 / $475.90 / $584.03	Professional		$383.12	$475.90	$584.03
United Facility/Professional Professional Modifier Low / Median / High Price $271.39 / $407.10 / $545.00	Professional		$271.39	$407.10	$545.00