Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.02 / $272.33 / $283.23	Facility		$208.02	$272.33	$283.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.15 / $335.13 / $406.69	Professional		$243.15	$335.13	$406.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.23 / $572.26 / $601.45	Facility		$356.23	$572.26	$601.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.14 / $343.70 / $382.27	Professional		$292.14	$343.70	$382.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $429.20 / $806.89 / $1,127.69	Facility		$429.20	$806.89	$1,127.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $572.26 / $772.55 / $1,068.21	Professional		$572.26	$772.55	$1,068.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $493.58 / $757.00	Facility		$493.58	$493.58	$757.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $493.58 / $3,172.81	Professional		$360.31	$493.58	$3,172.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.06 / $364.71 / $455.88	Professional		$299.06	$364.71	$455.88
United Facility/Professional Professional Modifier Low / Median / High Price $190.33 / $292.79 / $457.81	Professional		$190.33	$292.79	$457.81