Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.41 / $153.47 / $159.16	Facility		$129.41	$153.47	$159.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.85 / $153.47 / $175.27	Professional		$131.85	$153.47	$175.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.88 / $298.61 / $313.83	Facility		$185.88	$298.61	$313.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $144.86 / $155.36	Professional		$139.66	$144.86	$155.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.96 / $415.74 / $478.27	Facility		$223.96	$415.74	$478.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.68 / $371.20 / $492.71	Professional		$283.68	$371.20	$492.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $349.93	Facility		$176.58	$176.58	$349.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $217.32 / $298.61	Professional		$128.90	$217.32	$298.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $143.38 / $196.86	Professional		$99.31	$143.38	$196.86