Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.62 / $357.41 / $371.70	Facility		$243.62	$357.41	$371.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.10 / $372.69 / $429.72	Professional		$319.10	$372.69	$429.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.50 / $751.00 / $789.30	Facility		$467.50	$751.00	$789.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.25 / $402.53 / $448.79	Professional		$351.25	$402.53	$448.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $563.25 / $1,058.91 / $1,289.94	Facility		$563.25	$1,058.91	$1,289.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $713.45 / $938.75 / $1,239.15	Professional		$713.45	$938.75	$1,239.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $880.08	Facility		$418.79	$418.79	$880.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $418.79 / $3,555.18	Professional		$305.72	$418.79	$3,555.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $392.47 / $478.63 / $598.28	Professional		$392.47	$478.63	$598.28
United Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $306.73 / $306.73	Facility		$306.73	$306.73	$306.73
United Facility/Professional Professional Modifier Low / Median / High Price $249.78 / $374.66 / $514.97	Professional		$249.78	$374.66	$514.97