Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.65 / $616.82 / $616.82	Facility		$219.65	$616.82	$616.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.16 / $616.82 / $710.70	Professional		$579.16	$616.82	$710.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.14 / $836.55 / $1,004.24	Professional		$294.14	$836.55	$1,004.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $664.00 / $866.38	Facility		$79.23	$664.00	$866.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $89.99 / $128.56	Professional		$62.83	$89.99	$128.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.60 / $765.78 / $765.78	Facility		$192.60	$765.78	$765.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.70 / $789.88 / $1,582.97	Professional		$353.70	$789.88	$1,582.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $636.52	Professional		$32.34	$32.34	$636.52
United Facility/Professional Professional Modifier Low / Median / High Price $353.14 / $668.37 / $921.33	Professional		$353.14	$668.37	$921.33