Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.27 / $359.66 / $454.24	Facility		$307.27	$359.66	$454.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.27 / $381.06 / $461.24	Professional		$307.27	$381.06	$461.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.18 / $396.29 / $469.20	Professional		$381.18	$396.29	$469.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.87 / $99.67 / $961.20	Facility		$61.87	$99.67	$961.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $113.42 / $1,345.59	Professional		$65.30	$113.42	$1,345.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $429.00 / $747.40	Facility		$429.00	$429.00	$747.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $429.00 / $3,101.04	Professional		$54.03	$429.00	$3,101.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $57.88 / $603.64	Professional		$42.27	$57.88	$603.64
United Facility/Professional Professional Modifier Low / Median / High Price $181.46 / $280.27 / $427.98	Professional		$181.46	$280.27	$427.98