Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.40 / $143.38 / $148.69	Facility		$101.40	$143.38	$148.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.19 / $143.38 / $155.13	Professional		$123.19	$143.38	$155.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.66 / $278.97 / $293.20	Facility		$173.66	$278.97	$293.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $163.36 / $169.99	Professional		$130.47	$163.36	$169.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $209.23 / $390.56 / $460.30	Facility		$209.23	$390.56	$460.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $278.97 / $348.71 / $460.30	Professional		$278.97	$348.71	$460.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $376.18	Facility		$174.32	$174.32	$376.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $174.32 / $1,576.67	Professional		$127.25	$174.32	$1,576.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.78 / $177.79 / $222.23	Professional		$145.78	$177.79	$222.23
United Facility/Professional Professional Modifier Low / Median / High Price $92.78 / $139.18 / $183.91	Professional		$92.78	$139.18	$183.91