Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $323.59	Facility		$309.03	$309.03	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $588.84	Professional		$281.84	$363.08	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $676.08 / $707.95	Facility		$602.56	$676.08	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $398.11	Professional		$309.03	$398.11	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $891.25 / $1,148.15	Facility		$489.78	$891.25	$1,148.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,047.13	Professional		$660.69	$812.83	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,174.90 / $1,174.90	Facility		$407.38	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $616.60 / $3,548.13	Professional		$302.00	$616.60	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $562.34	Professional		$346.74	$436.52	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $436.52 / $501.19	Facility		$245.47	$436.52	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $501.19	Professional		$218.78	$338.84	$501.19