Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $213.80	Facility		$204.17	$204.17	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $354.81	Professional		$190.55	$213.80	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $407.38 / $426.58	Facility		$371.54	$407.38	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $234.42	Professional		$186.21	$234.42	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $537.03 / $707.95	Facility		$302.00	$537.03	$707.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $645.65	Professional		$398.11	$501.19	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $724.44 / $724.44	Facility		$251.19	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $371.54 / $2,187.76	Professional		$181.97	$371.54	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $346.74	Professional		$208.93	$269.15	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $229.09 / $269.15	Facility		$199.53	$229.09	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $309.03	Professional		$134.90	$199.53	$309.03