Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.42 / $938.52 / $997.53	Facility		$902.42	$938.52	$997.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.51 / $920.91 / $1,005.28	Professional		$821.51	$920.91	$1,005.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,180.39 / $1,896.21 / $1,992.92	Facility		$1,180.39	$1,896.21	$1,992.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.41 / $1,011.93 / $1,029.32	Professional		$850.41	$1,011.93	$1,029.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,422.16 / $2,640.43 / $3,037.42	Facility		$1,422.16	$2,640.43	$3,037.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,801.40 / $2,357.53 / $3,128.75	Professional		$1,801.40	$2,357.53	$3,128.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,329.56 / $1,329.56 / $2,222.12	Facility		$1,329.56	$1,329.56	$2,222.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.58 / $1,054.53 / $9,045.45	Professional		$970.58	$1,054.53	$9,045.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $890.30 / $1,105.86 / $1,357.17	Professional		$890.30	$1,105.86	$1,357.17
United Facility/Professional Professional Modifier Low / Median / High Price $630.66 / $946.00 / $1,350.58	Professional		$630.66	$946.00	$1,350.58