Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.39 / $232.39 / $343.54	Facility		$232.39	$232.39	$343.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.98 / $279.76 / $345.02	Professional		$198.98	$279.76	$345.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.10 / $301.77 / $348.44	Professional		$290.10	$301.77	$348.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.14 / $84.60 / $681.48	Facility		$46.14	$84.60	$681.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $84.60 / $988.15	Professional		$48.71	$84.60	$988.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.39 / $382.81 / $505.10	Facility		$264.39	$382.81	$505.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $325.39 / $935.53	Professional		$55.85	$325.39	$935.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $43.12 / $431.23	Professional		$31.04	$43.12	$431.23
United Facility/Professional Professional Modifier Low / Median / High Price $138.55 / $214.13 / $315.42	Professional		$138.55	$214.13	$315.42