Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.14 / $265.48 / $1,440.04	Facility		$181.14	$265.48	$1,440.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $259.00 / $323.75	Professional		$161.88	$259.00	$323.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.67 / $291.38 / $340.26	Facility		$164.67	$291.38	$340.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $164.67 / $164.67	Professional		$123.50	$164.67	$164.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.75 / $388.50 / $454.34	Facility		$323.75	$388.50	$454.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.75 / $391.74 / $647.50	Professional		$323.75	$391.74	$647.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.44 / $247.06 / $525.16	Facility		$210.44	$247.06	$525.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $281.48 / $1,560.48	Professional		$107.04	$281.48	$1,560.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.06 / $178.06 / $178.06	Professional		$178.06	$178.06	$178.06
United Facility/Professional Professional Modifier Low / Median / High Price $98.80 / $135.97 / $323.75	Professional		$98.80	$135.97	$323.75