Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.61 / $241.40 / $250.34	Facility		$135.61	$241.40	$250.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.67 / $241.40 / $252.51	Professional		$179.67	$241.40	$252.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.37 / $469.67 / $493.62	Facility		$292.37	$469.67	$493.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.46 / $218.46 / $229.34	Professional		$218.46	$218.46	$229.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $352.25 / $596.90 / $752.19	Facility		$352.25	$596.90	$752.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $442.02 / $587.09 / $774.96	Professional		$442.02	$587.09	$774.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.02 / $291.02 / $550.39	Facility		$291.02	$291.02	$550.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $291.02 / $2,071.73	Professional		$212.45	$291.02	$2,071.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.45 / $299.33 / $374.16	Professional		$245.45	$299.33	$374.16
United Facility/Professional Facility Modifier Low / Median / High Price $157.74 / $184.46 / $217.13	Facility		$157.74	$184.46	$217.13
United Facility/Professional Professional Modifier Low / Median / High Price $143.40 / $211.78 / $309.63	Professional		$143.40	$211.78	$309.63