Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.17 / $352.37 / $365.42	Facility		$110.17	$352.37	$365.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.72 / $352.37 / $366.24	Professional		$302.72	$352.37	$366.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.77 / $685.57 / $720.53	Facility		$426.77	$685.57	$720.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.66 / $332.64 / $363.95	Professional		$320.66	$332.64	$363.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $514.17 / $954.62 / $1,098.16	Facility		$514.17	$954.62	$1,098.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $651.29 / $852.34 / $1,131.19	Professional		$651.29	$852.34	$1,131.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $803.40	Facility		$380.63	$380.63	$803.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $380.63 / $3,270.27	Professional		$277.86	$380.63	$3,270.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $422.47 / $515.21 / $644.01	Professional		$422.47	$515.21	$644.01
United Facility/Professional Professional Modifier Low / Median / High Price $228.01 / $329.22 / $451.96	Professional		$228.01	$329.22	$451.96