Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.42 / $678.52 / $678.52	Facility		$652.42	$678.52	$678.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.91 / $672.29 / $733.88	Professional		$593.91	$672.29	$733.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $853.39 / $1,370.91 / $1,440.83	Facility		$853.39	$1,370.91	$1,440.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.20 / $777.67 / $922.08	Professional		$641.20	$777.67	$922.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,028.18 / $1,877.49 / $2,202.94	Facility		$1,028.18	$1,877.49	$2,202.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,302.35 / $1,713.64 / $2,262.00	Professional		$1,302.35	$1,713.64	$2,262.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.08 / $809.08 / $1,606.54	Facility		$809.08	$809.08	$1,606.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.72 / $809.08 / $6,105.64	Professional		$687.72	$809.08	$6,105.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.95 / $683.93 / $995.42	Professional		$455.95	$683.93	$995.42