Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.99 / $319.44 / $332.21	Facility		$243.99	$319.44	$332.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $353.09 / $411.53	Professional		$285.20	$353.09	$411.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $417.83 / $671.21 / $705.44	Facility		$417.83	$671.21	$705.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.94 / $403.14 / $408.18	Professional		$313.94	$403.14	$408.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $503.41 / $946.41 / $1,235.33	Facility		$503.41	$946.41	$1,235.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $656.28 / $887.90 / $1,107.50	Professional		$656.28	$887.90	$1,107.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $419.41 / $877.11	Facility		$419.41	$419.41	$877.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $419.41 / $3,676.21	Professional		$306.17	$419.41	$3,676.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $350.77 / $427.78 / $534.72	Professional		$350.77	$427.78	$534.72
United Facility/Professional Professional Modifier Low / Median / High Price $223.24 / $347.78 / $516.01	Professional		$223.24	$347.78	$516.01