Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.39 / $270.39 / $399.72	Facility		$270.39	$270.39	$399.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.01 / $395.70 / $470.02	Professional		$281.01	$395.70	$470.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.30 / $634.78 / $718.92	Professional		$468.30	$634.78	$718.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.35 / $154.94 / $1,209.74	Facility		$51.35	$154.94	$1,209.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $100.12 / $1,209.74	Professional		$57.07	$100.12	$1,209.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $740.79	Facility		$200.00	$200.00	$740.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $3,097.91	Professional		$170.00	$200.00	$3,097.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $64.89 / $618.00	Professional		$61.80	$64.89	$618.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.83 / $380.35 / $572.88	Professional		$286.83	$380.35	$572.88