Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.14 / $264.83 / $1,436.54	Facility		$255.14	$264.83	$1,436.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.14 / $264.83 / $322.95	Professional		$255.14	$264.83	$322.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.04 / $322.95 / $419.16	Facility		$201.04	$322.95	$419.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.49 / $159.49 / $419.16	Professional		$159.49	$159.49	$419.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $452.14 / $532.88	Facility		$322.95	$452.14	$532.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $345.57 / $419.85 / $645.91	Professional		$345.57	$419.85	$645.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.92 / $246.45 / $387.55	Facility		$209.92	$246.45	$387.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $387.55 / $1,556.67	Professional		$164.12	$387.55	$1,556.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.63 / $177.63 / $177.63	Professional		$177.63	$177.63	$177.63
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $251.50 / $419.16	Professional		$135.63	$251.50	$419.16