Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $221.96 / $230.18	Facility		$141.00	$221.96	$230.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.68 / $221.96 / $230.69	Professional		$190.68	$221.96	$230.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.82 / $431.84 / $453.86	Facility		$268.82	$431.84	$453.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.97 / $224.68 / $233.68	Professional		$201.97	$224.68	$233.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.88 / $601.29 / $691.65	Facility		$323.88	$601.29	$691.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $410.25 / $536.88 / $712.54	Professional		$410.25	$536.88	$712.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.01 / $252.01 / $506.06	Facility		$252.01	$252.01	$506.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $252.01 / $2,059.88	Professional		$183.97	$252.01	$2,059.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $310.06 / $310.06 / $393.25	Professional		$310.06	$310.06	$393.25
United Facility/Professional Professional Modifier Low / Median / High Price $143.62 / $207.36 / $284.69	Professional		$143.62	$207.36	$284.69