Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.33 / $189.95 / $196.98	Facility		$134.33	$189.95	$196.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.18 / $189.95 / $205.51	Professional		$163.18	$189.95	$205.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.04 / $369.55 / $388.40	Facility		$230.04	$369.55	$388.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.85 / $216.41 / $225.09	Professional		$172.85	$216.41	$225.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $277.16 / $517.37 / $609.76	Facility		$277.16	$517.37	$609.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $369.55 / $461.94 / $609.76	Professional		$369.55	$461.94	$609.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $230.92 / $476.95	Facility		$230.92	$230.92	$476.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $230.92 / $1,999.05	Professional		$168.57	$230.92	$1,999.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.12 / $235.52 / $294.39	Professional		$193.12	$235.52	$294.39
United Facility/Professional Professional Modifier Low / Median / High Price $122.91 / $184.37 / $246.93	Professional		$122.91	$184.37	$246.93