Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.96 / $157.25 / $157.25	Facility		$136.96	$157.25	$157.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $162.32 / $228.27	Professional		$120.15	$162.32	$228.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.47 / $266.47 / $266.47	Facility		$266.47	$266.47	$266.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.63 / $153.04 / $171.26	Professional		$124.63	$153.04	$171.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.85 / $373.06 / $439.68	Facility		$199.85	$373.06	$439.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $266.47 / $333.09 / $439.68	Professional		$266.47	$333.09	$439.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $312.26	Facility		$178.39	$178.39	$312.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $178.39 / $1,284.39	Professional		$130.22	$178.39	$1,284.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.04 / $167.13 / $346.41	Professional		$137.04	$167.13	$346.41
United Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $132.94 / $204.85	Professional		$88.63	$132.94	$204.85