Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.74 / $196.35 / $204.20	Facility		$134.74	$196.35	$204.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.31 / $181.00 / $206.12	Professional		$175.31	$181.00	$206.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.83 / $412.58 / $433.62	Facility		$256.83	$412.58	$433.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.71 / $222.62 / $224.02	Professional		$185.71	$222.62	$224.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.44 / $537.49 / $611.62	Facility		$309.44	$537.49	$611.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $391.95 / $495.10 / $680.76	Professional		$391.95	$495.10	$680.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $487.27	Facility		$239.78	$239.78	$487.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $239.78 / $2,042.28	Professional		$175.04	$239.78	$2,042.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $215.61 / $262.95 / $328.68	Professional		$215.61	$262.95	$328.68
United Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $247.02 / $247.02	Facility		$247.02	$247.02	$247.02
United Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $205.83 / $284.95	Professional		$137.22	$205.83	$284.95