Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $281.84	Facility		$269.15	$269.15	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $478.63	Professional		$245.47	$363.08	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $588.84 / $616.60	Facility		$524.81	$588.84	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $380.19	Professional		$275.42	$346.74	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $776.25 / $1,000.00	Facility		$426.58	$776.25	$1,000.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $912.01	Professional		$575.44	$707.95	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,047.13 / $1,047.13	Facility		$489.78	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $3,162.28	Professional		$363.08	$537.03	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $489.78	Professional		$302.00	$380.19	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $380.19 / $436.52	Facility		$302.00	$380.19	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $457.09	Professional		$190.55	$309.03	$457.09