Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.22 / $312.38 / $312.38	Facility		$301.22	$312.38	$312.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.67 / $301.22 / $313.07	Professional		$263.67	$301.22	$313.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.82 / $586.05 / $615.95	Facility		$364.82	$586.05	$615.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.55 / $284.35 / $433.93	Professional		$250.55	$284.35	$433.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $439.55 / $816.03 / $938.69	Facility		$439.55	$816.03	$938.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $556.76 / $728.60 / $967.00	Professional		$556.76	$728.60	$967.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $686.78	Facility		$325.37	$325.37	$686.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $426.75 / $552.49	Professional		$237.52	$426.75	$552.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $301.41 / $367.58 / $459.47	Professional		$301.41	$367.58	$459.47
United Facility/Professional Professional Modifier Low / Median / High Price $194.92 / $281.72 / $386.36	Professional		$194.92	$281.72	$386.36