Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.13 / $244.81 / $253.88	Facility		$173.13	$244.81	$253.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.32 / $253.88 / $293.67	Professional		$210.32	$253.88	$293.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.50 / $476.30 / $500.59	Facility		$296.50	$476.30	$500.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.78 / $278.92 / $289.64	Professional		$222.78	$278.92	$289.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $357.23 / $671.58 / $874.82	Facility		$357.23	$671.58	$874.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $464.75 / $628.77 / $785.90	Professional		$464.75	$628.77	$785.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $297.62 / $625.36	Facility		$297.62	$297.62	$625.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $297.62 / $2,621.07	Professional		$217.26	$297.62	$2,621.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.91 / $303.55 / $379.43	Professional		$248.91	$303.55	$379.43
United Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $237.62 / $363.62	Professional		$158.41	$237.62	$363.62