Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.80 / $213.61 / $1,158.70	Facility		$205.80	$213.61	$1,158.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.80 / $213.61 / $260.50	Professional		$205.80	$213.61	$260.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $234.45 / $273.79	Facility		$13.28	$234.45	$273.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $13.28 / $104.20	Professional		$12.34	$13.28	$104.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $364.70 / $429.83	Facility		$260.50	$364.70	$429.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $286.55 / $351.68 / $521.00	Professional		$286.55	$351.68	$521.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.33 / $202.70 / $488.03	Facility		$169.33	$202.70	$488.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.21 / $299.43 / $1,255.60	Professional		$119.21	$299.43	$1,255.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $143.28 / $143.28	Professional		$143.28	$143.28	$143.28
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $156.30 / $286.55	Professional		$109.41	$156.30	$286.55