Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.73 / $230.73 / $341.08	Facility		$230.73	$230.73	$341.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.73 / $292.39 / $341.12	Professional		$230.73	$292.39	$341.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $406.18 / $424.60	Professional		$18.13	$406.18	$424.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.76 / $433.94 / $839.01	Facility		$54.76	$433.94	$839.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.07 / $491.83 / $839.00	Professional		$55.07	$491.83	$839.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.16 / $347.16 / $611.88	Facility		$347.16	$347.16	$611.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $347.16 / $478.32	Professional		$295.08	$347.16	$478.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $377.37	Professional		$100.00	$100.00	$377.37
United Facility/Professional Professional Modifier Low / Median / High Price $170.15 / $260.91 / $421.50	Professional		$170.15	$260.91	$421.50