Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $288.40	Facility		$275.42	$275.42	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $524.81	Professional		$251.19	$331.13	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $602.56 / $630.96	Facility		$537.03	$602.56	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $354.81	Professional		$275.42	$354.81	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $794.33 / $1,023.29	Facility		$436.52	$794.33	$1,023.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $933.25	Professional		$588.84	$724.44	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,071.52 / $1,071.52	Facility		$478.63	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $3,235.94	Professional		$354.81	$549.54	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $501.19	Professional		$302.00	$389.05	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $446.68	Facility		$389.05	$389.05	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $446.68	Professional		$194.98	$309.03	$446.68