Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.92 / $328.34 / $558.17	Facility		$302.92	$328.34	$558.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $366.53	Professional		$328.34	$328.34	$366.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.70 / $387.19 / $656.68	Facility		$371.70	$387.19	$656.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $328.34 / $329.39	Professional		$328.34	$328.34	$329.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $361.17 / $525.34	Facility		$328.34	$361.17	$525.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $361.17 / $505.64	Professional		$328.34	$361.17	$505.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.34 / $752.25 / $752.25	Facility		$328.34	$752.25	$752.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.63 / $328.34 / $805.46	Professional		$326.63	$328.34	$805.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.80 / $302.92 / $375.44	Professional		$288.80	$302.92	$375.44
United Facility/Professional Professional Modifier Low / Median / High Price $328.34 / $348.04 / $365.51	Professional		$328.34	$348.04	$365.51