Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.64 / $291.20 / $302.85	Facility		$210.64	$291.20	$302.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $321.89 / $411.84	Professional		$260.00	$321.89	$411.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.90 / $611.89 / $643.10	Facility		$380.90	$611.89	$643.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.83 / $348.05 / $387.11	Professional		$295.83	$348.05	$387.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $458.92 / $862.76 / $1,162.58	Facility		$458.92	$862.76	$1,162.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $611.89 / $826.05 / $1,081.72	Professional		$611.89	$826.05	$1,081.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $499.82 / $755.96	Facility		$499.82	$499.82	$755.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.87 / $499.82 / $3,168.48	Professional		$364.87	$499.82	$3,168.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $319.77 / $389.97 / $487.46	Professional		$319.77	$389.97	$487.46
United Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $445.50	Facility		$382.03	$382.03	$445.50
United Facility/Professional Professional Modifier Low / Median / High Price $203.51 / $327.14 / $445.50	Professional		$203.51	$327.14	$445.50