Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.70 / $170.98 / $177.82	Facility		$122.70	$170.98	$177.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.65 / $187.71 / $215.00	Professional		$152.65	$187.71	$215.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.65 / $359.27 / $377.59	Facility		$223.65	$359.27	$377.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.04 / $202.74 / $214.69	Professional		$168.04	$202.74	$214.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.45 / $506.57 / $645.38	Facility		$269.45	$506.57	$645.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $342.86 / $463.86 / $592.79	Professional		$342.86	$463.86	$592.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $429.41	Facility		$271.68	$271.68	$429.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $271.68 / $1,799.79	Professional		$198.33	$271.68	$1,799.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.75 / $228.97 / $286.21	Professional		$187.75	$228.97	$286.21
United Facility/Professional Professional Modifier Low / Median / High Price $119.49 / $179.23 / $257.70	Professional		$119.49	$179.23	$257.70