Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.99 / $1,019.95 / $1,060.74	Facility		$658.99	$1,019.95	$1,060.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.64 / $1,060.74 / $1,247.88	Professional		$910.64	$1,060.74	$1,247.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,334.12 / $2,143.16 / $2,252.46	Facility		$1,334.12	$2,143.16	$2,252.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,002.39 / $1,088.84 / $1,172.93	Professional		$1,002.39	$1,088.84	$1,172.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,607.37 / $2,893.27 / $3,745.86	Facility		$1,607.37	$2,893.27	$3,745.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,036.00 / $2,692.33 / $3,536.21	Professional		$2,036.00	$2,692.33	$3,536.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.82 / $1,132.82 / $2,511.52	Facility		$1,132.82	$1,132.82	$2,511.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $1,190.31 / $10,104.17	Professional		$826.96	$1,190.31	$10,104.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,120.01 / $1,365.87 / $1,707.33	Professional		$1,120.01	$1,365.87	$1,707.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.80 / $1,052.80 / $1,052.80	Facility		$1,052.80	$1,052.80	$1,052.80
United Facility/Professional Professional Modifier Low / Median / High Price $712.80 / $1,069.20 / $1,495.48	Professional		$712.80	$1,069.20	$1,495.48