Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.03 / $358.13 / $371.40	Facility		$225.03	$358.13	$371.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.68 / $358.13 / $372.22	Professional		$307.68	$358.13	$372.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $433.75 / $696.78 / $732.32	Facility		$433.75	$696.78	$732.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.89 / $362.52 / $376.46	Professional		$325.89	$362.52	$376.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $522.59 / $970.20 / $1,116.04	Facility		$522.59	$970.20	$1,116.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $661.94 / $866.25 / $1,149.69	Professional		$661.94	$866.25	$1,149.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $386.84 / $816.54	Facility		$386.84	$386.84	$816.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $386.84 / $3,335.97	Professional		$282.39	$386.84	$3,335.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $364.12 / $444.06 / $555.07	Professional		$364.12	$444.06	$555.07
United Facility/Professional Professional Modifier Low / Median / High Price $231.74 / $334.59 / $459.35	Professional		$231.74	$334.59	$459.35