Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.59 / $200.59 / $296.52	Facility		$200.59	$200.59	$296.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.59 / $244.02 / $296.52	Professional		$200.59	$244.02	$296.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.36 / $354.86 / $356.22	Professional		$293.36	$354.86	$356.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $342.74 / $648.11	Facility		$45.70	$342.74	$648.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $405.02 / $664.68	Professional		$47.92	$405.02	$664.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $528.16	Facility		$229.50	$229.50	$528.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.08 / $229.50 / $417.20	Professional		$195.08	$229.50	$417.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.24 / $252.33 / $323.10	Professional		$189.24	$252.33	$323.10
United Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $243.09 / $374.03	Professional		$151.22	$243.09	$374.03