Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.16 / $202.44 / $209.93	Facility		$143.16	$202.44	$209.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.91 / $209.93 / $265.85	Professional		$173.91	$209.93	$265.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.17 / $393.85 / $413.94	Facility		$245.17	$393.85	$413.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.17 / $230.64 / $241.46	Professional		$193.17	$230.64	$241.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.39 / $555.33 / $748.32	Facility		$295.39	$555.33	$748.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $393.85 / $531.70 / $692.94	Professional		$393.85	$531.70	$692.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $246.11 / $514.83	Facility		$246.11	$246.11	$514.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $246.11 / $2,157.82	Professional		$179.66	$246.11	$2,157.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.82 / $251.01 / $313.76	Professional		$205.82	$251.01	$313.76
United Facility/Professional Professional Modifier Low / Median / High Price $130.99 / $196.49 / $315.08	Professional		$130.99	$196.49	$315.08