Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.97 / $230.19 / $282.92	Facility		$221.97	$230.19	$282.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $212.67 / $282.92	Professional		$169.90	$212.67	$282.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.32 / $374.81 / $393.93	Facility		$233.32	$374.81	$393.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.02 / $454.34 / $454.34	Professional		$269.02	$454.34	$454.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.11 / $505.99 / $618.44	Facility		$281.11	$505.99	$618.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $318.58 / $449.77 / $618.44	Professional		$318.58	$449.77	$618.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $436.67	Facility		$382.03	$382.03	$436.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $382.03 / $1,710.67	Professional		$278.88	$382.03	$1,710.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $372.55 / $454.34 / $567.92	Professional		$372.55	$454.34	$567.92
United Facility/Professional Professional Modifier Low / Median / High Price $181.88 / $285.80 / $386.19	Professional		$181.88	$285.80	$386.19