Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.56 / $223.56 / $330.47	Facility		$223.56	$223.56	$330.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.78 / $279.95 / $330.47	Professional		$215.78	$279.95	$330.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.54 / $462.98 / $465.55	Professional		$363.54	$462.98	$465.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.55 / $428.70 / $816.24	Facility		$46.55	$428.70	$816.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $488.73 / $794.31	Professional		$56.07	$488.73	$794.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.44 / $299.44 / $664.20	Facility		$299.44	$299.44	$664.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $299.44 / $545.24	Professional		$254.52	$299.44	$545.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $100.00 / $332.73	Professional		$33.27	$100.00	$332.73
United Facility/Professional Professional Modifier Low / Median / High Price $168.62 / $318.77 / $488.55	Professional		$168.62	$318.77	$488.55