Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.51 / $205.75 / $213.37	Facility		$145.51	$205.75	$213.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.76 / $210.59 / $236.23	Professional		$176.76	$210.59	$236.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.19 / $400.31 / $420.73	Facility		$249.19	$400.31	$420.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.24 / $234.42 / $242.52	Professional		$187.24	$234.42	$242.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $300.23 / $563.42 / $715.74	Facility		$300.23	$563.42	$715.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.29 / $500.39 / $660.51	Professional		$380.29	$500.39	$660.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $519.50	Facility		$252.60	$252.60	$519.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $252.60 / $2,177.39	Professional		$184.40	$252.60	$2,177.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.20 / $255.13 / $318.91	Professional		$209.20	$255.13	$318.91
United Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $199.71 / $320.25	Professional		$133.13	$199.71	$320.25