Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.11 / $162.93 / $204.52	Facility		$157.11	$162.93	$204.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.89 / $150.38 / $204.52	Professional		$118.89	$150.38	$204.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.27 / $262.27 / $275.66	Facility		$163.27	$262.27	$275.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.24 / $328.83 / $328.83	Professional		$196.24	$328.83	$328.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $196.71 / $354.08 / $432.76	Facility		$196.71	$354.08	$432.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.94 / $314.74 / $432.76	Professional		$222.94	$314.74	$432.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $305.58	Facility		$278.10	$278.10	$305.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $278.10 / $1,174.78	Professional		$203.01	$278.10	$1,174.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $328.83 / $411.03	Professional		$269.64	$328.83	$411.03
United Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $201.97 / $310.39	Professional		$131.47	$201.97	$310.39