Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.43 / $393.70 / $408.28	Facility		$278.43	$393.70	$408.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.24 / $408.28 / $510.09	Professional		$338.24	$408.28	$510.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.83 / $765.99 / $805.06	Facility		$476.83	$765.99	$805.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.63 / $448.55 / $466.53	Professional		$370.63	$448.55	$466.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $574.49 / $1,080.05 / $1,455.38	Facility		$574.49	$1,080.05	$1,455.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $765.99 / $1,034.08 / $1,329.57	Professional		$765.99	$1,034.08	$1,329.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.80 / $550.80 / $1,019.38	Facility		$550.80	$550.80	$1,019.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $550.80 / $4,272.54	Professional		$402.09	$550.80	$4,272.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $400.30 / $488.18 / $610.22	Professional		$400.30	$488.18	$610.22
United Facility/Professional Professional Modifier Low / Median / High Price $254.76 / $382.15 / $606.65	Professional		$254.76	$382.15	$606.65