Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.05 / $367.74 / $381.36	Facility		$195.05	$367.74	$381.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.38 / $288.22 / $381.36	Professional		$255.38	$288.22	$381.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.38 / $715.47 / $751.96	Facility		$445.38	$715.47	$751.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.77 / $314.23 / $334.64	Professional		$261.77	$314.23	$334.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $536.60 / $778.07 / $1,037.43	Facility		$536.60	$778.07	$1,037.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $617.09 / $858.56 / $1,180.53	Professional		$617.09	$858.56	$1,180.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $347.13 / $838.44	Facility		$347.13	$347.13	$838.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $347.13 / $2,988.01	Professional		$253.40	$347.13	$2,988.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $373.90 / $455.98 / $569.97	Professional		$373.90	$455.98	$569.97
United Facility/Professional Professional Modifier Low / Median / High Price $181.47 / $310.74 / $471.67	Professional		$181.47	$310.74	$471.67