Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.17 / $259.17 / $383.12	Facility		$259.17	$259.17	$383.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.17 / $292.97 / $383.12	Professional		$259.17	$292.97	$383.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.06 / $283.30 / $321.33	Professional		$216.06	$283.30	$321.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.56 / $443.94 / $793.38	Facility		$60.56	$443.94	$793.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $547.16 / $858.30	Professional		$64.80	$547.16	$858.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $292.50 / $693.67	Facility		$292.50	$292.50	$693.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.63 / $292.50 / $529.92	Professional		$248.63	$292.50	$529.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.23 / $42.55 / $425.56	Professional		$33.23	$42.55	$425.56
United Facility/Professional Professional Modifier Low / Median / High Price $174.06 / $266.89 / $390.24	Professional		$174.06	$266.89	$390.24