Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $184.14 / $184.14	Facility		$177.56	$184.14	$184.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $177.56 / $184.55	Professional		$155.41	$177.56	$184.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.06 / $345.47 / $363.09	Facility		$215.06	$345.47	$363.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.16 / $180.16 / $728.09	Professional		$180.16	$180.16	$728.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $259.10 / $481.04 / $553.34	Facility		$259.10	$481.04	$553.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $328.20 / $429.50 / $570.03	Professional		$328.20	$429.50	$570.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $404.84	Facility		$192.25	$192.25	$404.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $192.25 / $1,651.48	Professional		$140.34	$192.25	$1,651.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $302.50	Professional		$100.00	$100.00	$302.50
United Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $168.76 / $276.38	Professional		$114.90	$168.76	$276.38