Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.12 / $437.23 / $454.72	Facility		$273.12	$437.23	$454.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.44 / $454.72 / $521.66	Professional		$368.44	$454.72	$521.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $571.91 / $918.73 / $965.59	Facility		$571.91	$918.73	$965.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.70 / $452.00 / $490.34	Professional		$429.70	$452.00	$490.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $689.05 / $1,202.21 / $1,565.94	Facility		$689.05	$1,202.21	$1,565.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $872.79 / $1,148.41 / $1,515.90	Professional		$872.79	$1,148.41	$1,515.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.36 / $644.36 / $1,076.64	Facility		$644.36	$644.36	$1,076.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.38 / $644.36 / $4,154.93	Professional		$470.38	$644.36	$4,154.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $480.12 / $585.52 / $731.90	Professional		$480.12	$585.52	$731.90
United Facility/Professional Professional Modifier Low / Median / High Price $305.56 / $458.34 / $624.76	Professional		$305.56	$458.34	$624.76