Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $389.05 / $691.83	Facility		$234.42	$389.05	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $275.42	Professional		$147.91	$229.09	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $281.84 / $302.00	Facility		$234.42	$281.84	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $141.25	Professional		$83.18	$83.18	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $338.84 / $398.11	Facility		$281.84	$338.84	$398.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $575.44	Professional		$281.84	$354.81	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $436.52 / $457.09	Facility		$186.21	$436.52	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $1,380.38 / $1,380.38	Professional		$131.83	$1,380.38	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $281.84	Professional		$85.11	$120.23	$281.84