Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.73 / $208.70 / $252.29	Facility		$204.73	$208.70	$252.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.42 / $204.73 / $214.27	Professional		$203.42	$204.73	$214.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $10.00 / $14.16	Professional		$8.50	$10.00	$14.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $109.11 / $303.89	Facility		$54.55	$109.11	$303.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.43 / $265.92 / $379.88	Professional		$218.43	$265.92	$379.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.58 / $241.58 / $255.14	Facility		$241.58	$241.58	$255.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.70 / $258.64 / $997.84	Professional		$198.70	$258.64	$997.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $48.49 / $54.55	Professional		$40.40	$48.49	$54.55
United Facility/Professional Professional Modifier Low / Median / High Price $201.38 / $282.57 / $408.35	Professional		$201.38	$282.57	$408.35