Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.28 / $207.28 / $306.41	Facility		$207.28	$207.28	$306.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.28 / $261.86 / $309.20	Professional		$207.28	$261.86	$309.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.95 / $380.35 / $382.50	Professional		$314.95	$380.35	$382.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $65.95 / $758.71	Facility		$40.65	$65.95	$758.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $72.78 / $763.82	Professional		$45.49	$72.78	$763.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.93 / $332.93 / $545.65	Facility		$332.93	$332.93	$545.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.99 / $332.93 / $447.92	Professional		$282.99	$332.93	$447.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.54 / $331.39 / $424.34	Professional		$248.54	$331.39	$424.34
United Facility/Professional Professional Modifier Low / Median / High Price $152.15 / $269.95 / $382.45	Professional		$152.15	$269.95	$382.45