Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $154.82 / $160.56	Facility		$109.49	$154.82	$160.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.01 / $158.46 / $168.60	Professional		$133.01	$158.46	$168.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.51 / $301.22 / $316.58	Facility		$187.51	$301.22	$316.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.88 / $176.40 / $183.18	Professional		$140.88	$176.40	$183.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.92 / $421.71 / $562.65	Facility		$225.92	$421.71	$562.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $301.22 / $376.53 / $497.01	Professional		$301.22	$376.53	$497.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $401.34	Facility		$188.22	$188.22	$401.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $188.22 / $1,682.13	Professional		$137.40	$188.22	$1,682.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.42 / $191.98 / $239.97	Professional		$157.42	$191.98	$239.97
United Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $204.62 / $204.62	Facility		$204.62	$204.62	$204.62
United Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $150.28 / $201.27	Professional		$100.18	$150.28	$201.27