Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.86 / $325.64 / $337.71	Facility		$202.86	$325.64	$337.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.76 / $325.64 / $344.34	Professional		$268.76	$325.64	$344.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $394.41 / $633.59 / $665.90	Facility		$394.41	$633.59	$665.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.35 / $326.80 / $339.37	Professional		$296.35	$326.80	$339.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $475.19 / $855.35 / $1,025.76	Facility		$475.19	$855.35	$1,025.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $601.91 / $791.99 / $1,045.42	Professional		$601.91	$791.99	$1,045.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.04 / $419.04 / $742.49	Facility		$419.04	$419.04	$742.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.89 / $419.04 / $3,050.29	Professional		$305.89	$419.04	$3,050.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.11 / $403.80 / $504.75	Professional		$331.11	$403.80	$504.75
United Facility/Professional Professional Modifier Low / Median / High Price $210.73 / $301.61 / $464.02	Professional		$210.73	$301.61	$464.02