Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.79 / $189.33 / $196.90	Facility		$132.79	$189.33	$196.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.03 / $181.21 / $219.24	Professional		$169.03	$181.21	$219.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.64 / $397.81 / $418.10	Facility		$247.64	$397.81	$418.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.21 / $219.42 / $221.25	Professional		$178.21	$219.42	$221.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $298.36 / $537.04 / $685.89	Facility		$298.36	$537.04	$685.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $377.92 / $477.37 / $656.39	Professional		$377.92	$477.37	$656.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $467.69	Facility		$228.28	$228.28	$467.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $228.28 / $1,960.25	Professional		$166.64	$228.28	$1,960.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.89 / $253.53 / $316.91	Professional		$207.89	$253.53	$316.91
United Facility/Professional Professional Modifier Low / Median / High Price $132.31 / $198.47 / $303.76	Professional		$132.31	$198.47	$303.76