Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.26 / $158.66 / $164.55	Facility		$110.26	$158.66	$164.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $158.66 / $168.67	Professional		$136.32	$158.66	$168.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.18 / $308.72 / $324.45	Facility		$192.18	$308.72	$324.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $177.62 / $181.32	Professional		$144.38	$177.62	$181.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.54 / $424.66 / $530.61	Facility		$231.54	$424.66	$530.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $293.27 / $379.16 / $509.39	Professional		$293.27	$379.16	$509.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.21 / $196.21 / $390.18	Facility		$196.21	$196.21	$390.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $196.21 / $1,635.38	Professional		$143.22	$196.21	$1,635.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.33 / $196.75 / $245.93	Professional		$161.33	$196.75	$245.93
United Facility/Professional Professional Modifier Low / Median / High Price $102.68 / $151.33 / $246.98	Professional		$102.68	$151.33	$246.98