Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.63 / $717.83 / $769.10	Facility		$391.63	$717.83	$769.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.87 / $840.00 / $960.45	Professional		$665.87	$840.00	$960.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,077.38 / $1,077.38 / $1,077.38	Facility		$1,077.38	$1,077.38	$1,077.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.03 / $2,100.00 / $2,100.00	Professional		$567.03	$2,100.00	$2,100.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $808.04 / $1,519.11 / $2,222.10	Facility		$808.04	$1,519.11	$2,222.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,023.51 / $1,346.73 / $1,777.68	Professional		$1,023.51	$1,346.73	$1,777.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,396.46 / $1,396.46 / $1,396.46	Facility		$1,396.46	$1,396.46	$1,396.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.14 / $598.38 / $5,852.97	Professional		$517.14	$598.38	$5,852.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $563.04 / $686.64 / $1,400.59	Professional		$563.04	$686.64	$1,400.59
United Facility/Professional Professional Modifier Low / Median / High Price $358.33 / $537.49 / $764.05	Professional		$358.33	$537.49	$764.05