Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.47 / $154.80 / $160.53	Facility		$109.47	$154.80	$160.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.99 / $154.80 / $167.48	Professional		$132.99	$154.80	$167.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.48 / $301.17 / $316.52	Facility		$187.48	$301.17	$316.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $176.37 / $183.43	Professional		$140.86	$176.37	$183.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.88 / $421.64 / $496.93	Facility		$225.88	$421.64	$496.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $301.17 / $376.46 / $496.93	Professional		$301.17	$376.46	$496.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $188.19 / $388.44	Facility		$188.19	$188.19	$388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $188.19 / $1,628.05	Professional		$137.38	$188.19	$1,628.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.39 / $191.94 / $239.92	Professional		$157.39	$191.94	$239.92
United Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $150.25 / $229.92	Professional		$100.17	$150.25	$229.92