Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $331.13	Facility		$223.87	$223.87	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $354.81	Professional		$223.87	$295.12	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $467.74	Professional		$363.08	$467.74	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $354.81 / $676.08	Facility		$42.66	$354.81	$676.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $489.78 / $794.33	Professional		$63.10	$489.78	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $426.58 / $741.31	Facility		$109.65	$426.58	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $524.81	Professional		$257.04	$302.00	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $100.00 / $331.13	Professional		$33.11	$100.00	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $199.53 / $316.23	Facility		$26.92	$199.53	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $489.78	Professional		$169.82	$302.00	$489.78