Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.63 / $322.89 / $335.82	Facility		$246.63	$322.89	$335.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.30 / $339.35 / $380.07	Professional		$288.30	$339.35	$380.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.37 / $678.50 / $713.10	Facility		$422.37	$678.50	$713.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.35 / $407.50 / $411.21	Professional		$317.35	$407.50	$411.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $508.88 / $956.69 / $1,140.88	Facility		$508.88	$956.69	$1,140.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $644.58 / $848.13 / $1,119.53	Professional		$644.58	$848.13	$1,119.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.30 / $472.30 / $887.79	Facility		$472.30	$472.30	$887.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $472.30 / $3,720.99	Professional		$344.78	$472.30	$3,720.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.57 / $432.41 / $540.51	Professional		$354.57	$432.41	$540.51
United Facility/Professional Professional Modifier Low / Median / High Price $225.66 / $338.50 / $521.61	Professional		$225.66	$338.50	$521.61