Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.27 / $265.27 / $392.16	Facility		$265.27	$265.27	$392.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.00 / $352.96 / $423.52	Professional		$226.00	$352.96	$423.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.22 / $599.10 / $599.10	Professional		$332.22	$599.10	$599.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $193.34 / $388.19	Facility		$42.32	$193.34	$388.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $226.66 / $698.75	Professional		$43.47	$226.66	$698.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.77 / $330.77 / $1,260.54	Facility		$330.77	$330.77	$1,260.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.07 / $330.77 / $468.96	Professional		$101.07	$330.77	$468.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $34.03 / $340.30	Professional		$23.57	$34.03	$340.30
United Facility/Professional Professional Modifier Low / Median / High Price $166.59 / $271.88 / $410.72	Professional		$166.59	$271.88	$410.72