Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.25 / $175.56 / $182.06	Facility		$115.25	$175.56	$182.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.83 / $165.97 / $182.06	Professional		$150.83	$165.97	$182.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.63 / $341.57 / $358.99	Facility		$212.63	$341.57	$358.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $185.66 / $191.22	Professional		$154.66	$185.66	$191.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.18 / $459.72 / $523.13	Facility		$256.18	$459.72	$523.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $324.49 / $409.88 / $563.59	Professional		$324.49	$409.88	$563.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $422.06	Facility		$205.09	$205.09	$422.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $205.09 / $1,768.99	Professional		$149.72	$205.09	$1,768.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.52 / $217.71 / $272.13	Professional		$178.52	$217.71	$272.13
United Facility/Professional Professional Modifier Low / Median / High Price $113.60 / $162.16 / $225.18	Professional		$113.60	$162.16	$225.18