Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.01 / $206.46 / $214.11	Facility		$146.01	$206.46	$214.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.38 / $211.31 / $228.10	Professional		$177.38	$211.31	$228.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.05 / $401.69 / $422.18	Facility		$250.05	$401.69	$422.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.88 / $235.22 / $235.22	Professional		$187.88	$235.22	$235.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $301.27 / $562.37 / $761.18	Facility		$301.27	$562.37	$761.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $401.69 / $502.11 / $662.79	Professional		$401.69	$502.11	$662.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $522.45	Facility		$251.00	$251.00	$522.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $251.00 / $2,189.73	Professional		$183.23	$251.00	$2,189.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.92 / $256.01 / $320.01	Professional		$209.92	$256.01	$320.01
United Facility/Professional Facility Modifier Low / Median / High Price $345.78 / $345.78 / $345.78	Facility		$345.78	$345.78	$345.78
United Facility/Professional Professional Modifier Low / Median / High Price $133.60 / $200.40 / $268.39	Professional		$133.60	$200.40	$268.39