Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $275.42	Facility		$269.15	$269.15	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $457.09	Professional		$239.88	$288.40	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $524.81 / $562.34	Facility		$478.63	$524.81	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $323.59	Professional		$245.47	$302.00	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $707.95 / $912.01	Facility		$389.05	$707.95	$912.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $831.76	Professional		$524.81	$645.65	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $954.99 / $954.99	Facility		$380.19	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $489.78 / $2,884.03	Professional		$275.42	$489.78	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $446.68	Professional		$269.15	$346.74	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $257.04 / $323.59	Facility		$218.78	$257.04	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $398.11	Professional		$173.78	$257.04	$398.11