Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.02 / $291.52 / $303.19	Facility		$200.02	$291.52	$303.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.27 / $295.75 / $324.75	Professional		$260.27	$295.75	$324.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.33 / $612.58 / $643.82	Facility		$381.33	$612.58	$643.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.51 / $326.89 / $350.00	Professional		$286.51	$326.89	$350.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $459.44 / $852.98 / $981.21	Facility		$459.44	$852.98	$981.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $581.95 / $761.59 / $1,010.76	Professional		$581.95	$761.59	$1,010.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.27 / $401.27 / $717.86	Facility		$401.27	$401.27	$717.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $401.27 / $2,922.08	Professional		$292.93	$401.27	$2,922.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.06 / $368.37 / $460.46	Professional		$302.06	$368.37	$460.46
United Facility/Professional Professional Modifier Low / Median / High Price $203.74 / $305.60 / $418.43	Professional		$203.74	$305.60	$418.43