Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.27 / $145.60 / $789.80	Facility		$140.27	$145.60	$789.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.27 / $145.60 / $177.56	Professional		$140.27	$145.60	$177.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.54 / $159.80 / $186.62	Facility		$106.54	$159.80	$186.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $106.54 / $106.54	Professional		$71.02	$106.54	$106.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $248.58 / $292.97	Facility		$177.56	$248.58	$292.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $230.83 / $399.51	Professional		$177.56	$230.83	$399.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.41 / $135.49 / $213.07	Facility		$115.41	$135.49	$213.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $199.72 / $855.84	Professional		$81.23	$199.72	$855.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $97.66 / $97.66	Professional		$97.66	$97.66	$97.66
United Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $106.54 / $195.32	Professional		$74.58	$106.54	$195.32