Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.72 / $216.32 / $224.34	Facility		$151.72	$216.32	$224.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.72 / $232.13 / $291.95	Professional		$151.72	$232.13	$291.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.00 / $420.88 / $442.34	Facility		$262.00	$420.88	$442.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.78 / $244.45 / $265.20	Professional		$207.78	$244.45	$265.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $315.66 / $593.44 / $799.67	Facility		$315.66	$593.44	$799.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $420.88 / $568.19 / $761.01	Professional		$420.88	$568.19	$761.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.73 / $315.73 / $543.05	Facility		$315.73	$315.73	$543.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $315.73 / $739.11	Professional		$230.48	$315.73	$739.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.97 / $268.26 / $335.32	Professional		$219.97	$268.26	$335.32
United Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $243.26 / $243.26	Facility		$243.26	$243.26	$243.26
United Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $209.98 / $326.82	Professional		$139.97	$209.98	$326.82