Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.03 / $867.20 / $901.89	Facility		$624.03	$867.20	$901.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.26 / $954.67 / $1,214.14	Professional		$774.26	$954.67	$1,214.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,134.32 / $1,822.20 / $1,915.13	Facility		$1,134.32	$1,822.20	$1,915.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $888.93 / $1,031.08 / $1,141.22	Professional		$888.93	$1,031.08	$1,141.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,366.65 / $2,569.30 / $3,462.18	Facility		$1,366.65	$2,569.30	$3,462.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,822.20 / $2,459.96 / $3,189.00	Professional		$1,822.20	$2,459.96	$3,189.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.53 / $1,473.53 / $2,307.77	Facility		$1,473.53	$1,473.53	$2,307.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,473.53 / $9,672.58	Professional		$1,075.68	$1,473.53	$9,672.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $952.29 / $1,161.33 / $1,451.67	Professional		$952.29	$1,161.33	$1,451.67
United Facility/Professional Professional Modifier Low / Median / High Price $606.04 / $974.22 / $1,455.06	Professional		$606.04	$974.22	$1,455.06