Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $162.97 / $883.98	Facility		$157.00	$162.97	$883.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $198.74 / $198.74	Professional		$157.00	$198.74	$198.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.62 / $178.87 / $208.88	Facility		$99.62	$178.87	$208.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $45.77 / $145.87	Professional		$34.32	$45.77	$145.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.89 / $222.56 / $317.98	Facility		$182.89	$222.56	$317.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.74 / $238.49 / $397.48	Professional		$198.74	$238.49	$397.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.18 / $154.63 / $296.60	Facility		$129.18	$154.63	$296.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $182.63 / $957.93	Professional		$60.16	$182.63	$957.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.31 / $109.31 / $109.31	Professional		$109.31	$109.31	$109.31
United Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $99.62 / $218.61	Professional		$83.47	$99.62	$218.61