Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $213.80	Facility		$208.93	$208.93	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $346.74	Professional		$190.55	$208.93	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $446.68 / $467.74	Facility		$398.11	$446.68	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $263.03	Professional		$213.80	$234.42	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $588.84 / $758.58	Facility		$323.59	$588.84	$758.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $691.83	Professional		$436.52	$549.54	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $691.83 / $691.83	Facility		$275.42	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $416.87 / $2,089.30	Professional		$199.53	$416.87	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $371.54	Professional		$223.87	$288.40	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $309.03	Facility		$257.04	$257.04	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $302.00	Professional		$144.54	$218.78	$302.00