Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.51 / $154.85 / $160.59	Facility		$109.51	$154.85	$160.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.04 / $160.59 / $181.48	Professional		$133.04	$160.59	$181.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.54 / $301.27 / $316.63	Facility		$187.54	$301.27	$316.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.91 / $176.43 / $183.50	Professional		$140.91	$176.43	$183.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.95 / $424.79 / $540.62	Facility		$225.95	$424.79	$540.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $287.20 / $388.57 / $497.10	Professional		$287.20	$388.57	$497.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $218.57 / $394.98	Facility		$218.57	$218.57	$394.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $218.57 / $1,655.48	Professional		$159.56	$218.57	$1,655.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $192.01 / $240.01	Professional		$157.44	$192.01	$240.01
United Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $150.31 / $215.82	Professional		$100.20	$150.31	$215.82