Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.72 / $160.54 / $166.96	Facility		$115.72	$160.54	$166.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.33 / $165.88 / $182.15	Professional		$143.33	$165.88	$182.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.99 / $337.33 / $354.53	Facility		$209.99	$337.33	$354.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.77 / $191.21 / $201.58	Professional		$157.77	$191.21	$201.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $253.00 / $475.64 / $556.08	Facility		$253.00	$475.64	$556.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $421.66 / $556.59	Professional		$320.45	$421.66	$556.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.07 / $221.07 / $427.92	Facility		$221.07	$221.07	$427.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $221.07 / $1,793.52	Professional		$161.38	$221.07	$1,793.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.28 / $214.98 / $268.72	Professional		$176.28	$214.98	$268.72
United Facility/Professional Professional Modifier Low / Median / High Price $112.19 / $168.29 / $244.74	Professional		$112.19	$168.29	$244.74