Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.67 / $267.16 / $1,449.16	Facility		$164.67	$267.16	$1,449.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.90 / $260.64 / $325.80	Professional		$162.90	$260.64	$325.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.69 / $293.22 / $342.42	Facility		$149.69	$293.22	$342.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.27 / $149.69 / $149.69	Professional		$112.27	$149.69	$149.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $325.80 / $390.96 / $457.06	Facility		$325.80	$390.96	$457.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $325.80 / $394.22 / $651.60	Professional		$325.80	$394.22	$651.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.77 / $248.62 / $528.49	Facility		$211.77	$248.62	$528.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $282.98 / $1,570.36	Professional		$97.31	$282.98	$1,570.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.19 / $179.19 / $179.19	Professional		$179.19	$179.19	$179.19
United Facility/Professional Professional Modifier Low / Median / High Price $89.82 / $106.86 / $224.55	Professional		$89.82	$106.86	$224.55