Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $302.00	Facility		$295.12	$295.12	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $549.54	Professional		$263.03	$338.84	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $630.96 / $660.69	Facility		$562.34	$630.96	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $371.54	Professional		$288.40	$371.54	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $831.76 / $1,071.52	Facility		$457.09	$831.76	$1,071.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $977.24	Professional		$616.60	$776.25	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,096.48 / $1,096.48	Facility		$457.09	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $3,311.31	Professional		$331.13	$575.44	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $524.81	Professional		$323.59	$407.38	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $489.78	Facility		$407.38	$407.38	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $467.74	Professional		$204.17	$316.23	$467.74