Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.50 / $182.00 / $188.74	Facility		$153.50	$182.00	$188.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.36 / $182.00 / $189.19	Professional		$156.36	$182.00	$189.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.43 / $354.10 / $372.16	Facility		$220.43	$354.10	$372.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.63 / $171.81 / $191.64	Professional		$165.63	$171.81	$191.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $265.58 / $493.14 / $567.24	Facility		$265.58	$493.14	$567.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $336.40 / $440.30 / $584.27	Professional		$336.40	$440.30	$584.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $212.98 / $414.96	Facility		$212.98	$212.98	$414.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $272.49 / $354.10	Professional		$155.47	$272.49	$354.10
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 $117.77 / $170.05 / $233.43	Professional		$117.77	$170.05	$233.43