Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.83 / $139.47 / $1,098.01	Facility		$132.83	$139.47	$1,098.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.83 / $138.47 / $516.71	Professional		$132.83	$138.47	$516.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $618.99 / $672.81 / $672.81	Facility		$618.99	$672.81	$672.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.51 / $538.25 / $570.54	Professional		$457.51	$538.25	$570.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.37 / $131.52 / $229.27	Facility		$127.37	$131.52	$229.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.19 / $127.37 / $127.37	Professional		$125.19	$127.37	$127.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $570.54 / $570.54	Facility		$167.40	$570.54	$570.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $570.54 / $700.06	Professional		$570.54	$570.54	$700.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $645.89 / $645.89 / $645.89	Professional		$645.89	$645.89	$645.89