Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $398.11 / $426.58	Facility		$309.03	$398.11	$426.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $741.31	Professional		$309.03	$380.19	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $302.00 / $588.84	Facility		$5.01	$302.00	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,096.48	Professional		$537.03	$676.08	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $616.60	Professional		$309.03	$501.19	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $630.96	Professional		$281.84	$398.11	$630.96