Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $389.05	Facility		$263.03	$263.03	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $416.87	Professional		$263.03	$371.54	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $512.86	Professional		$426.58	$512.86	$512.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $426.58 / $794.33	Facility		$51.29	$426.58	$794.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $588.84 / $933.25	Professional		$69.18	$588.84	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $478.63 / $933.25	Facility		$138.04	$478.63	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $575.44	Professional		$316.23	$380.19	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $100.00 / $398.11	Professional		$39.81	$100.00	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $257.04 / $363.08	Facility		$33.11	$257.04	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $512.86	Professional		$199.53	$354.81	$512.86