Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.39 / $155.00 / $161.19	Facility		$118.39	$155.00	$161.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $159.03 / $195.76	Professional		$138.38	$159.03	$195.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.74 / $325.69 / $342.30	Facility		$202.74	$325.69	$342.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.33 / $195.68 / $197.18	Professional		$152.33	$195.68	$197.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $244.27 / $455.97 / $612.46	Facility		$244.27	$455.97	$612.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $325.69 / $407.11 / $537.39	Professional		$325.69	$407.11	$537.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $422.12	Facility		$203.51	$203.51	$422.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $203.51 / $1,769.23	Professional		$148.56	$203.51	$1,769.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.20 / $207.57 / $259.46	Professional		$170.20	$207.57	$259.46
United Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $162.47 / $250.38	Professional		$108.32	$162.47	$250.38