Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.12 / $205.64 / $1,115.45	Facility		$198.12	$205.64	$1,115.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.12 / $205.64 / $250.78	Professional		$198.12	$205.64	$250.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.82 / $225.70 / $263.57	Facility		$54.82	$225.70	$263.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $54.82 / $121.34	Professional		$54.82	$54.82	$121.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.78 / $351.09 / $413.79	Facility		$250.78	$351.09	$413.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $250.78 / $326.01 / $564.26	Professional		$250.78	$326.01	$564.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.01 / $191.37 / $300.94	Facility		$163.01	$191.37	$300.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.82 / $300.94 / $1,208.76	Professional		$124.82	$300.94	$1,208.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93
United Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $127.40 / $275.86	Professional		$105.33	$127.40	$275.86