Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.27 / $218.06 / $969.94	Facility		$172.27	$218.06	$969.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.27 / $178.81 / $218.06	Professional		$172.27	$178.81	$218.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.22 / $196.25 / $229.18	Facility		$87.22	$196.25	$229.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.22 / $150.46	Professional		$74.13	$87.22	$150.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $261.67 / $348.90	Facility		$218.06	$261.67	$348.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $233.32 / $283.48 / $436.12	Professional		$233.32	$283.48	$436.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $166.40 / $327.08	Facility		$141.74	$166.40	$327.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.74 / $250.69 / $1,051.05	Professional		$141.74	$250.69	$1,051.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.93 / $119.93 / $119.93	Professional		$119.93	$119.93	$119.93
United Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $218.06 / $218.06	Facility		$218.06	$218.06	$218.06
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $130.84 / $261.67	Professional		$91.59	$130.84	$261.67