Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.67 / $367.62 / $382.32	Facility		$226.67	$367.62	$382.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.77 / $328.88 / $382.32	Professional		$296.77	$328.88	$382.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.85 / $772.45 / $811.84	Facility		$480.85	$772.45	$811.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $374.53 / $461.60	Professional		$304.20	$374.53	$461.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $579.34 / $904.21 / $1,120.05	Facility		$579.34	$904.21	$1,120.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $717.13 / $926.94 / $1,274.54	Professional		$717.13	$926.94	$1,274.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $389.66 / $905.22	Facility		$389.66	$389.66	$905.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $389.66 / $3,321.61	Professional		$284.45	$389.66	$3,321.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $403.68 / $492.30 / $615.37	Professional		$403.68	$492.30	$615.37
United Facility/Professional Professional Modifier Low / Median / High Price $256.91 / $385.37 / $481.71	Professional		$256.91	$385.37	$481.71