Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.30 / $221.44 / $229.64	Facility		$147.30	$221.44	$229.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.24 / $222.54 / $241.51	Professional		$190.24	$222.54	$241.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.19 / $430.83 / $452.80	Facility		$268.19	$430.83	$452.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.49 / $237.29 / $246.42	Professional		$201.49	$237.29	$246.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.12 / $587.57 / $719.42	Facility		$323.12	$587.57	$719.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $409.29 / $538.54 / $710.87	Professional		$409.29	$538.54	$710.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.20 / $526.33	Facility		$253.20	$253.20	$526.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $253.20 / $2,206.02	Professional		$184.84	$253.20	$2,206.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.13 / $274.55 / $343.18	Professional		$225.13	$274.55	$343.18
United Facility/Professional Professional Modifier Low / Median / High Price $143.29 / $207.25 / $309.35	Professional		$143.29	$207.25	$309.35