Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.83 / $392.63 / $667.47	Facility		$388.83	$392.63	$667.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $470.48	Professional		$392.63	$392.63	$470.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.48 / $463.00 / $785.26	Facility		$444.48	$463.00	$785.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.36 / $392.63 / $392.63	Professional		$353.36	$392.63	$392.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $471.16 / $628.21	Facility		$392.63	$471.16	$628.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $431.89 / $604.65	Professional		$392.63	$431.89	$604.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.16 / $374.16 / $392.63	Facility		$374.16	$374.16	$392.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.83 / $392.63 / $524.91	Professional		$388.83	$392.63	$524.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $373.77 / $388.83 / $485.90	Professional		$373.77	$388.83	$485.90
United Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $416.19 / $437.08	Professional		$392.63	$416.19	$437.08