Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.32 / $287.45 / $298.94	Facility		$212.32	$287.45	$298.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.64 / $308.06 / $415.12	Professional		$256.64	$308.06	$415.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.99 / $604.00 / $634.79	Facility		$375.99	$604.00	$634.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.19 / $350.82 / $390.19	Professional		$298.19	$350.82	$390.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $453.00 / $846.96 / $1,147.59	Facility		$453.00	$846.96	$1,147.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $604.00 / $815.40 / $1,090.33	Professional		$604.00	$815.40	$1,090.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.81 / $503.81 / $757.59	Facility		$503.81	$503.81	$757.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $446.68 / $3,175.27	Professional		$367.78	$446.68	$3,175.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $315.65 / $384.95 / $481.18	Professional		$315.65	$384.95	$481.18
United Facility/Professional Facility Modifier Low / Median / High Price $388.77 / $388.77 / $388.77	Facility		$388.77	$388.77	$388.77
United Facility/Professional Professional Modifier Low / Median / High Price $200.89 / $322.93 / $483.20	Professional		$200.89	$322.93	$483.20