Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.47 / $223.47 / $330.34	Facility		$223.47	$223.47	$330.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.47 / $310.39 / $330.34	Professional		$223.47	$310.39	$330.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.60 / $358.14 / $375.58	Professional		$268.60	$358.14	$375.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.28 / $81.66 / $689.99	Facility		$38.28	$81.66	$689.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.04 / $84.22 / $571.80	Professional		$51.04	$84.22	$571.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $172.77 / $513.76	Facility		$172.77	$172.77	$513.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.85 / $172.77 / $460.33	Professional		$146.85	$172.77	$460.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.64 / $239.53 / $306.71	Professional		$179.64	$239.53	$306.71
United Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $214.81 / $310.37	Professional		$143.19	$214.81	$310.37