Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.78 / $298.39 / $309.44	Facility		$189.78	$298.39	$309.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.35 / $298.39 / $309.44	Professional		$256.35	$298.39	$309.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.39 / $580.54 / $610.16	Facility		$361.39	$580.54	$610.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.52 / $302.39 / $302.39	Professional		$271.52	$302.39	$302.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $435.41 / $802.03 / $928.74	Facility		$435.41	$802.03	$928.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $551.52 / $716.10 / $957.91	Professional		$551.52	$716.10	$957.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.46 / $347.46 / $683.31	Facility		$347.46	$347.46	$683.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $347.46 / $2,863.95	Professional		$253.65	$347.46	$2,863.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $338.57 / $415.48	Professional		$272.55	$338.57	$415.48
United Facility/Professional Professional Modifier Low / Median / High Price $193.08 / $283.56 / $382.71	Professional		$193.08	$283.56	$382.71