Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.16 / $236.36 / $245.12	Facility		$167.16	$236.36	$245.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.06 / $245.12 / $268.70	Professional		$203.06	$245.12	$268.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.27 / $459.87 / $483.32	Facility		$286.27	$459.87	$483.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.09 / $269.30 / $280.08	Professional		$215.09	$269.30	$280.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $344.90 / $648.41 / $800.45	Facility		$344.90	$648.41	$800.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $436.88 / $575.32 / $758.79	Professional		$436.88	$575.32	$758.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $606.77	Facility		$352.55	$352.55	$606.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $352.55 / $2,543.17	Professional		$257.36	$352.55	$2,543.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $240.33 / $293.08 / $366.36	Professional		$240.33	$293.08	$366.36
United Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $229.42 / $319.57	Professional		$152.94	$229.42	$319.57