Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $250.16 / $260.16	Facility		$188.00	$250.16	$260.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.35 / $252.53 / $287.60	Professional		$223.35	$252.53	$287.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $525.64 / $552.45	Facility		$327.20	$525.64	$552.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.87 / $310.62 / $315.95	Professional		$245.87	$310.62	$315.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $394.23 / $724.05 / $853.35	Facility		$394.23	$724.05	$853.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $499.36 / $646.48 / $867.31	Professional		$499.36	$646.48	$867.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $364.44 / $677.28	Facility		$364.44	$364.44	$677.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $364.44 / $2,838.69	Professional		$266.04	$364.44	$2,838.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $274.72 / $335.03 / $418.78	Professional		$274.72	$335.03	$418.78
United Facility/Professional Professional Modifier Low / Median / High Price $174.83 / $262.24 / $388.75	Professional		$174.83	$262.24	$388.75