Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.55 / $185.16 / $185.16	Facility		$178.55	$185.16	$185.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.29 / $178.55 / $185.57	Professional		$156.29	$178.55	$185.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.24 / $347.38 / $365.10	Facility		$216.24	$347.38	$365.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $180.78 / $186.58	Professional		$162.47	$180.78	$186.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.54 / $483.70 / $556.42	Facility		$260.54	$483.70	$556.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $330.01 / $431.88 / $573.17	Professional		$330.01	$431.88	$573.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $407.09	Facility		$192.91	$192.91	$407.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $192.91 / $1,657.41	Professional		$140.82	$192.91	$1,657.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.32 / $232.10 / $290.12	Professional		$190.32	$232.10	$290.12
United Facility/Professional Professional Modifier Low / Median / High Price $115.54 / $169.68 / $229.01	Professional		$115.54	$169.68	$229.01