Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.69 / $337.38 / $350.87	Facility		$257.69	$337.38	$350.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.22 / $346.15 / $394.22	Professional		$301.22	$346.15	$394.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.30 / $708.91 / $745.06	Facility		$441.30	$708.91	$745.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.58 / $425.78 / $433.10	Professional		$331.58	$425.78	$433.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $531.67 / $992.47 / $1,169.70	Facility		$531.67	$992.47	$1,169.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $708.91 / $886.14 / $1,169.70	Professional		$708.91	$886.14	$1,169.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.59 / $458.59 / $892.48	Facility		$458.59	$458.59	$892.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.77 / $458.59 / $3,740.66	Professional		$334.77	$458.59	$3,740.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $370.48 / $451.81 / $564.76	Professional		$370.48	$451.81	$564.76
United Facility/Professional Professional Modifier Low / Median / High Price $235.78 / $353.67 / $567.13	Professional		$235.78	$353.67	$567.13