Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.55 / $173.03 / $5,322.46	Facility		$172.55	$173.03	$5,322.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $237.62	Professional		$173.03	$173.03	$237.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.89 / $204.05 / $346.06	Facility		$195.89	$204.05	$346.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $173.03 / $173.03	Professional		$155.72	$173.03	$173.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.55 / $190.33 / $276.85	Facility		$172.55	$190.33	$276.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $181.68 / $250.89	Professional		$173.03	$181.68	$250.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $184.79 / $184.79	Facility		$173.03	$184.79	$184.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.71 / $173.03 / $235.10	Professional		$165.71	$173.03	$235.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.92 / $172.55 / $214.40	Professional		$164.92	$172.55	$214.40
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $183.41 / $192.62	Professional		$173.03	$183.41	$192.62