Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.12 / $182.64 / $463.83	Facility		$176.12	$182.64	$463.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $176.12 / $202.21	Professional		$154.16	$176.12	$202.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.31 / $342.66 / $360.14	Facility		$213.31	$342.66	$360.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.27 / $178.29 / $185.44	Professional		$160.27	$178.29	$185.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.00 / $477.15 / $548.91	Facility		$257.00	$477.15	$548.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $325.52 / $426.03 / $565.39	Professional		$325.52	$426.03	$565.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $227.96 / $964.00	Facility		$227.96	$227.96	$964.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $227.96 / $1,640.68	Professional		$166.41	$227.96	$1,640.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.24 / $214.93 / $268.66	Professional		$176.24	$214.93	$268.66
United Facility/Professional Professional Modifier Low / Median / High Price $113.97 / $162.68 / $225.90	Professional		$113.97	$162.68	$225.90