Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.29 / $238.66 / $248.20	Facility		$182.29	$238.66	$248.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.08 / $253.24 / $333.79	Professional		$213.08	$253.24	$333.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.17 / $501.48 / $527.05	Facility		$312.17	$501.48	$527.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.56 / $301.19 / $304.95	Professional		$234.56	$301.19	$304.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $376.11 / $707.09 / $1,044.25	Facility		$376.11	$707.09	$1,044.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $476.41 / $626.85 / $827.44	Professional		$476.41	$626.85	$827.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.22 / $344.22 / $629.49	Facility		$344.22	$344.22	$629.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $344.22 / $2,638.37	Professional		$251.28	$344.22	$2,638.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.08 / $319.61 / $399.51	Professional		$262.08	$319.61	$399.51
United Facility/Professional Professional Modifier Low / Median / High Price $166.79 / $250.18 / $385.52	Professional		$166.79	$250.18	$385.52