Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.12 / $327.49 / $340.58	Facility		$231.12	$327.49	$340.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.39 / $353.20 / $408.40	Professional		$292.39	$353.20	$408.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.36 / $688.13 / $723.22	Facility		$428.36	$688.13	$723.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.86 / $381.88 / $411.22	Professional		$321.86	$381.88	$411.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $516.10 / $970.26 / $1,225.94	Facility		$516.10	$970.26	$1,225.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $653.72 / $881.14 / $1,135.41	Professional		$653.72	$881.14	$1,135.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.47 / $528.47 / $838.05	Facility		$528.47	$528.47	$838.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $528.47 / $3,512.53	Professional		$385.78	$528.47	$3,512.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $359.62 / $438.57 / $548.21	Professional		$359.62	$438.57	$548.21
United Facility/Professional Professional Modifier Low / Median / High Price $228.87 / $345.13 / $488.80	Professional		$228.87	$345.13	$488.80