Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.74 / $323.19 / $336.12	Facility		$220.74	$323.19	$336.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.55 / $327.88 / $360.02	Professional		$288.55	$327.88	$360.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.75 / $679.11 / $713.74	Facility		$422.75	$679.11	$713.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.63 / $364.72 / $405.82	Professional		$317.63	$364.72	$405.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $509.33 / $945.63 / $1,087.75	Facility		$509.33	$945.63	$1,087.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $645.15 / $844.31 / $1,120.53	Professional		$645.15	$844.31	$1,120.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.96 / $436.96 / $795.83	Facility		$436.96	$436.96	$795.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $436.96 / $3,264.01	Professional		$318.98	$436.96	$3,264.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.90 / $432.81 / $541.01	Professional		$354.90	$432.81	$541.01
United Facility/Professional Professional Modifier Low / Median / High Price $225.86 / $338.80 / $464.32	Professional		$225.86	$338.80	$464.32