Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.62 / $194.59 / $201.80	Facility		$137.62	$194.59	$201.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.17 / $194.59 / $210.53	Professional		$167.17	$194.59	$210.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.67 / $378.59 / $397.90	Facility		$235.67	$378.59	$397.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.08 / $221.70 / $221.70	Professional		$177.08	$221.70	$221.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.94 / $530.03 / $624.66	Facility		$283.94	$530.03	$624.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $378.59 / $473.24 / $624.66	Professional		$378.59	$473.24	$624.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $236.57 / $510.53	Facility		$236.57	$236.57	$510.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $236.57 / $2,139.79	Professional		$172.70	$236.57	$2,139.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.85 / $241.29 / $301.61	Professional		$197.85	$241.29	$301.61
United Facility/Professional Professional Modifier Low / Median / High Price $125.92 / $188.88 / $252.97	Professional		$125.92	$188.88	$252.97