Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.07 / $247.07 / $365.23	Facility		$247.07	$247.07	$365.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.07 / $356.57 / $397.45	Professional		$247.07	$356.57	$397.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.28 / $317.75 / $360.42	Professional		$242.28	$317.75	$360.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $102.54 / $756.19	Facility		$42.32	$102.54	$756.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $93.11 / $756.18	Professional		$56.43	$93.11	$756.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.81 / $407.81 / $627.46	Facility		$407.81	$407.81	$627.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $346.64 / $2,623.96	Professional		$47.24	$346.64	$2,623.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $40.56 / $405.61	Professional		$23.75	$40.56	$405.61
United Facility/Professional Professional Modifier Low / Median / High Price $167.42 / $244.14 / $358.81	Professional		$167.42	$244.14	$358.81