Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.81 / $141.69 / $146.94	Facility		$94.81	$141.69	$146.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.03 / $146.94 / $159.59	Professional		$124.03	$146.94	$159.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.61 / $275.68 / $289.74	Facility		$171.61	$275.68	$289.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $152.75 / $157.80	Professional		$128.93	$152.75	$157.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.76 / $388.71 / $485.22	Facility		$206.76	$388.71	$485.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $261.89 / $344.60 / $454.87	Professional		$261.89	$344.60	$454.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $332.68	Facility		$190.78	$190.78	$332.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $190.78 / $1,394.38	Professional		$139.27	$190.78	$1,394.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.06 / $175.69 / $219.61	Professional		$144.06	$175.69	$219.61
United Facility/Professional Professional Modifier Low / Median / High Price $91.69 / $134.66 / $189.80	Professional		$91.69	$134.66	$189.80