Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $891.25	Facility		$870.96	$870.96	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,584.89	Professional		$794.33	$1,096.48	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $1,949.84	Facility		$1,659.59	$1,862.09	$1,949.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,148.15	Professional		$851.14	$1,023.29	$1,148.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,454.71 / $3,162.28	Facility		$1,380.38	$2,454.71	$3,162.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $2,884.03	Professional		$1,819.70	$2,290.87	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,235.94 / $3,235.94	Facility		$1,479.11	$3,235.94	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $9,772.37	Professional		$1,071.52	$1,621.81	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,584.89	Professional		$954.99	$1,230.27	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,318.26	Facility		$954.99	$1,148.15	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $1,380.38	Professional		$602.56	$977.24	$1,380.38