Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.64 / $231.22 / $239.79	Facility		$122.64	$231.22	$239.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.57 / $195.82 / $239.79	Professional		$160.57	$195.82	$239.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.04 / $449.87 / $472.81	Facility		$280.04	$449.87	$472.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.60 / $197.65 / $210.41	Professional		$164.60	$197.65	$210.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $337.40 / $539.84 / $670.87	Facility		$337.40	$539.84	$670.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $388.01 / $539.84 / $742.29	Professional		$388.01	$539.84	$742.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $218.27 / $527.20	Facility		$218.27	$218.27	$527.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $218.27 / $1,795.88	Professional		$159.34	$218.27	$1,795.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $235.11 / $286.72 / $358.40	Professional		$235.11	$286.72	$358.40
United Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $193.19 / $280.55	Professional		$129.69	$193.19	$280.55