Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.41 / $268.41 / $396.78	Facility		$268.41	$268.41	$396.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.38 / $325.11 / $396.78	Professional		$210.38	$325.11	$396.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.43 / $453.90 / $473.44	Professional		$451.43	$453.90	$473.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.25 / $88.29 / $907.88	Facility		$48.25	$88.29	$907.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $90.06 / $1,011.72	Professional		$60.89	$90.06	$1,011.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $283.73 / $700.07	Facility		$283.73	$283.73	$700.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.17 / $283.73 / $531.62	Professional		$241.17	$283.73	$531.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $438.94	Professional		$100.00	$100.00	$438.94
United Facility/Professional Professional Modifier Low / Median / High Price $202.32 / $305.52 / $453.92	Professional		$202.32	$305.52	$453.92