Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.97 / $169.69 / $906.91	Facility		$137.97	$169.69	$906.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $169.69 / $186.86	Professional		$143.22	$169.69	$186.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.17 / $318.35 / $334.59	Facility		$198.17	$318.35	$334.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $154.46 / $171.10	Professional		$148.88	$154.46	$171.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $238.76 / $443.30 / $509.90	Facility		$238.76	$443.30	$509.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.43 / $395.80 / $525.28	Professional		$302.43	$395.80	$525.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $373.07	Facility		$176.75	$176.75	$373.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $176.75 / $1,518.59	Professional		$129.03	$176.75	$1,518.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $278.76	Professional		$100.00	$100.00	$278.76
United Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $152.87 / $225.90	Professional		$105.88	$152.87	$225.90