Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.18 / $923.26 / $960.19	Facility		$705.18	$923.26	$960.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.31 / $947.26 / $1,078.81	Professional		$824.31	$947.26	$1,078.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,207.64 / $1,939.99 / $2,038.93	Facility		$1,207.64	$1,939.99	$2,038.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $907.38 / $1,165.17 / $1,185.19	Professional		$907.38	$1,165.17	$1,185.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,454.99 / $2,715.99 / $3,200.98	Facility		$1,454.99	$2,715.99	$3,200.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,939.99 / $2,424.98 / $3,200.98	Professional		$1,939.99	$2,424.98	$3,200.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.96 / $1,254.96 / $2,287.83	Facility		$1,254.96	$1,254.96	$2,287.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $1,254.96 / $9,589.00	Professional		$916.12	$1,254.96	$9,589.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,013.84 / $1,236.40 / $1,545.50	Professional		$1,013.84	$1,236.40	$1,545.50
United Facility/Professional Facility Modifier Low / Median / High Price $969.63 / $969.63 / $969.63	Facility		$969.63	$969.63	$969.63
United Facility/Professional Professional Modifier Low / Median / High Price $645.22 / $967.84 / $1,491.41	Professional		$645.22	$967.84	$1,491.41