Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.59 / $875.89 / $910.92	Facility		$859.59	$875.89	$910.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.35 / $888.58 / $975.70	Professional		$797.35	$888.58	$975.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.69 / $1,840.46 / $1,934.32	Facility		$1,145.69	$1,840.46	$1,934.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $824.57 / $1,212.28 / $1,442.58	Professional		$824.57	$1,212.28	$1,442.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.35 / $2,562.73 / $2,947.97	Facility		$1,380.35	$2,562.73	$2,947.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,748.44 / $2,288.15 / $3,036.76	Professional		$1,748.44	$2,288.15	$3,036.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,022.07 / $2,156.78	Facility		$1,022.07	$1,022.07	$2,156.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $1,022.07 / $8,098.85	Professional		$868.76	$1,022.07	$8,098.85
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 $612.12 / $918.18 / $1,257.46	Professional		$612.12	$918.18	$1,257.46