Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $151.51 / $157.12	Facility		$107.15	$151.51	$157.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $151.51 / $163.93	Professional		$130.16	$151.51	$163.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.50 / $294.77 / $309.81	Facility		$183.50	$294.77	$309.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.88 / $172.69 / $176.99	Professional		$137.88	$172.69	$176.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.09 / $412.69 / $486.39	Facility		$221.09	$412.69	$486.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.77 / $368.48 / $486.39	Professional		$294.77	$368.48	$486.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $378.24	Facility		$190.69	$190.69	$378.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $190.69 / $1,585.30	Professional		$139.19	$190.69	$1,585.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.06 / $187.88 / $234.85	Professional		$154.06	$187.88	$234.85
United Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $147.07 / $196.97	Professional		$98.04	$147.07	$196.97