Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $234.42	Facility		$223.87	$223.87	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $389.05	Professional		$199.53	$229.09	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $478.63 / $501.19	Facility		$436.52	$478.63	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $281.84	Professional		$218.78	$251.19	$281.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $630.96 / $831.76	Facility		$354.81	$630.96	$831.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $758.58	Professional		$467.74	$588.84	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $741.31 / $741.31	Facility		$295.12	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $2,238.72	Professional		$213.80	$398.11	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $398.11	Professional		$245.47	$309.03	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $281.84 / $331.13	Facility		$275.42	$281.84	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $323.59	Professional		$158.49	$234.42	$323.59