Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.10 / $409.88 / $425.06	Facility		$262.10	$409.88	$425.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.13 / $400.97 / $425.06	Professional		$352.13	$400.97	$425.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $496.41 / $797.45 / $838.12	Facility		$496.41	$797.45	$838.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.48 / $365.48 / $463.84	Professional		$365.48	$365.48	$463.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $598.09 / $1,076.56 / $1,268.33	Facility		$598.09	$1,076.56	$1,268.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $757.58 / $956.94 / $1,315.79	Professional		$757.58	$956.94	$1,315.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.57 / $450.57 / $934.51	Facility		$450.57	$450.57	$934.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.92 / $450.57 / $3,907.82	Professional		$328.92	$450.57	$3,907.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.74 / $508.23 / $635.28	Professional		$416.74	$508.23	$635.28
United Facility/Professional Professional Modifier Low / Median / High Price $265.23 / $373.78 / $599.54	Professional		$265.23	$373.78	$599.54