Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.48 / $256.95 / $267.23	Facility		$182.48	$256.95	$267.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.41 / $256.95 / $281.27	Professional		$229.41	$256.95	$281.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $336.09 / $539.91 / $567.45	Facility		$336.09	$539.91	$567.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.55 / $301.52 / $306.70	Professional		$252.55	$301.52	$306.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $404.93 / $736.72 / $880.01	Facility		$404.93	$736.72	$880.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.91 / $657.79 / $890.85	Professional		$512.91	$657.79	$890.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.42 / $340.42 / $636.08	Facility		$340.42	$340.42	$636.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $340.42 / $2,665.99	Professional		$248.51	$340.42	$2,665.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.17 / $344.12 / $430.15	Professional		$282.17	$344.12	$430.15
United Facility/Professional Professional Modifier Low / Median / High Price $179.57 / $269.36 / $385.95	Professional		$179.57	$269.36	$385.95