Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.07 / $391.07 / $664.82	Facility		$383.07	$391.07	$664.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.06 / $391.07 / $463.52	Professional		$391.06	$391.07	$463.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.72 / $461.16 / $782.14	Facility		$442.72	$461.16	$782.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.09 / $391.07 / $391.07	Professional		$374.09	$391.07	$391.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $391.07 / $469.28 / $625.71	Facility		$391.07	$469.28	$625.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $430.18 / $602.25	Professional		$391.07	$430.18	$602.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.31 / $376.31 / $391.07	Facility		$376.31	$376.31	$391.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.07 / $391.07 / $521.92	Professional		$383.07	$391.07	$521.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.83 / $383.07 / $472.98	Professional		$363.83	$383.07	$472.98
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $414.53 / $435.34	Professional		$391.07	$414.53	$435.34