Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.17 / $358.13 / $371.40	Facility		$339.17	$358.13	$371.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.48 / $358.13 / $372.22	Professional		$313.48	$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 $325.43 / $545.34 / $545.34	Professional		$325.43	$545.34	$545.34
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 $437.50 / $437.50 / $816.54	Facility		$437.50	$437.50	$816.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $437.50 / $3,335.97	Professional		$319.38	$437.50	$3,335.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $447.17 / $545.34 / $681.67	Professional		$447.17	$545.34	$681.67
United Facility/Professional Professional Modifier Low / Median / High Price $231.74 / $345.73 / $557.41	Professional		$231.74	$345.73	$557.41