Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.16 / $181.65 / $230.60	Facility		$175.16	$181.65	$230.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $167.74 / $230.60	Professional		$133.34	$167.74	$230.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.11 / $294.16 / $309.16	Facility		$183.11	$294.16	$309.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.67 / $362.39 / $362.39	Professional		$214.67	$362.39	$362.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.62 / $397.12 / $485.36	Facility		$220.62	$397.12	$485.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $250.04 / $352.99 / $485.36	Professional		$250.04	$352.99	$485.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $312.30 / $342.71	Facility		$312.30	$312.30	$342.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $312.30 / $1,309.10	Professional		$227.98	$312.30	$1,309.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $297.15 / $362.39 / $452.98	Professional		$297.15	$362.39	$452.98
United Facility/Professional Professional Modifier Low / Median / High Price $148.24 / $228.06 / $308.02	Professional		$148.24	$228.06	$308.02