Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $299.97 / $2,184.12	Facility		$155.41	$299.97	$2,184.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $178.21 / $1,491.57	Professional		$176.45	$178.21	$1,491.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.75 / $208.08 / $352.90	Facility		$199.75	$208.08	$352.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $176.45	Professional		$176.45	$176.45	$176.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $194.10 / $282.32	Facility		$155.41	$194.10	$282.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $185.27 / $255.85	Professional		$176.45	$185.27	$255.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $460.73 / $460.73	Facility		$176.45	$460.73	$460.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $336.11	Professional		$176.45	$176.45	$336.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $172.29 / $223.98	Professional		$161.63	$172.29	$223.98
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $187.04 / $196.43	Professional		$176.45	$187.04	$196.43