Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.57 / $272.29 / $282.37	Facility		$192.57	$272.29	$282.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.93 / $282.37 / $312.63	Professional		$233.93	$282.37	$312.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.78 / $529.76 / $556.78	Facility		$329.78	$529.76	$556.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.79 / $310.23 / $322.16	Professional		$247.79	$310.23	$322.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $397.32 / $746.96 / $1,042.07	Facility		$397.32	$746.96	$1,042.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $503.27 / $662.20 / $874.10	Professional		$503.27	$662.20	$874.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.03 / $331.03 / $679.08	Facility		$331.03	$331.03	$679.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $331.03 / $2,846.21	Professional		$241.65	$331.03	$2,846.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.86 / $337.64 / $422.05	Professional		$276.86	$337.64	$422.05
United Facility/Professional Professional Modifier Low / Median / High Price $176.20 / $264.29 / $353.98	Professional		$176.20	$264.29	$353.98