Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.02 / $315.62 / $327.31	Facility		$183.02	$315.62	$327.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.63 / $281.39 / $327.31	Professional		$239.63	$281.39	$327.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.26 / $614.08 / $645.40	Facility		$382.26	$614.08	$645.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.63 / $294.85 / $302.33	Professional		$245.63	$294.85	$302.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $460.56 / $805.62 / $1,070.08	Facility		$460.56	$805.62	$1,070.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $579.04 / $736.90 / $1,013.23	Professional		$579.04	$736.90	$1,013.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.76 / $319.76 / $719.63	Facility		$319.76	$319.76	$719.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $319.76 / $2,778.54	Professional		$233.42	$319.76	$2,778.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.93 / $391.38 / $489.22	Professional		$320.93	$391.38	$489.22
United Facility/Professional Professional Modifier Low / Median / High Price $193.54 / $276.62 / $404.84	Professional		$193.54	$276.62	$404.84