Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.61 / $166.30 / $172.46	Facility		$117.61	$166.30	$172.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $172.46 / $220.19	Professional		$142.88	$172.46	$220.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.42 / $323.57 / $340.07	Facility		$201.42	$323.57	$340.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $189.47 / $199.00	Professional		$159.19	$189.47	$199.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.68 / $456.23 / $614.78	Facility		$242.68	$456.23	$614.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.57 / $436.82 / $573.94	Professional		$323.57	$436.82	$573.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $417.89	Facility		$268.08	$268.08	$417.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $268.08 / $1,751.49	Professional		$195.70	$268.08	$1,751.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.09 / $206.21 / $257.76	Professional		$169.09	$206.21	$257.76
United Facility/Professional Professional Modifier Low / Median / High Price $109.31 / $161.41 / $258.86	Professional		$109.31	$161.41	$258.86