Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.84 / $252.84 / $373.77	Facility		$252.84	$252.84	$373.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.77 / $370.01 / $439.50	Professional		$262.77	$370.01	$439.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.50 / $490.03 / $512.00	Professional		$416.50	$490.03	$512.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.27 / $160.62 / $1,143.57	Facility		$51.27	$160.62	$1,143.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $94.64 / $1,143.57	Professional		$58.65	$94.64	$1,143.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $692.70	Facility		$128.00	$128.00	$692.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $128.00 / $2,896.82	Professional		$108.80	$128.00	$2,896.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $61.34 / $584.20	Professional		$58.42	$61.34	$584.20
United Facility/Professional Professional Modifier Low / Median / High Price $245.42 / $353.55 / $540.90	Professional		$245.42	$353.55	$540.90