Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.47 / $175.14 / $181.62	Facility		$110.47	$175.14	$181.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.37 / $175.14 / $184.64	Professional		$146.37	$175.14	$184.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.12 / $340.75 / $358.13	Facility		$212.12	$340.75	$358.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.37 / $177.97 / $185.10	Professional		$159.37	$177.97	$185.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.56 / $460.01 / $550.02	Facility		$255.56	$460.01	$550.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.70 / $425.94 / $562.24	Professional		$323.70	$425.94	$562.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $399.31	Facility		$189.91	$189.91	$399.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $189.91 / $1,633.64	Professional		$138.63	$189.91	$1,633.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.06 / $217.15 / $271.43	Professional		$178.06	$217.15	$271.43
United Facility/Professional Professional Modifier Low / Median / High Price $113.33 / $168.33 / $269.60	Professional		$113.33	$168.33	$269.60