Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.69 / $189.44 / $197.02	Facility		$144.69	$189.44	$197.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.14 / $209.93 / $252.28	Professional		$169.14	$209.93	$252.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.79 / $398.05 / $418.35	Facility		$247.79	$398.05	$418.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.17 / $239.07 / $240.07	Professional		$186.17	$239.07	$240.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $298.54 / $561.25 / $756.30	Facility		$298.54	$561.25	$756.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.05 / $537.37 / $662.62	Professional		$398.05	$537.37	$662.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.16 / $306.16 / $513.34	Facility		$306.16	$306.16	$513.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $306.16 / $2,151.55	Professional		$223.50	$306.16	$2,151.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.01 / $253.68 / $317.10	Professional		$208.01	$253.68	$317.10
United Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $198.59 / $302.33	Professional		$132.38	$198.59	$302.33