Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.32 / $215.94 / $223.94	Facility		$151.32	$215.94	$223.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.52 / $215.94 / $224.44	Professional		$185.52	$215.94	$224.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.54 / $420.14 / $441.57	Facility		$261.54	$420.14	$441.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.50 / $218.60 / $224.90	Professional		$196.50	$218.60	$224.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $315.11 / $585.00 / $672.95	Facility		$315.11	$585.00	$672.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $399.13 / $522.33 / $693.23	Professional		$399.13	$522.33	$693.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.26 / $233.26 / $492.35	Facility		$233.26	$233.26	$492.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $233.26 / $2,004.11	Professional		$170.28	$233.26	$2,004.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.82 / $196.36 / $236.01	Professional		$154.82	$196.36	$236.01
United Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $201.75 / $276.97	Professional		$139.72	$201.75	$276.97