Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.59 / $255.91 / $266.14	Facility		$146.59	$255.91	$266.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.93 / $214.96 / $266.14	Professional		$191.93	$214.96	$266.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $334.73 / $537.72 / $565.14	Facility		$334.73	$537.72	$565.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.05 / $242.22 / $321.33	Professional		$202.05	$242.22	$321.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $403.29 / $584.77 / $779.69	Facility		$403.29	$584.77	$779.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $463.78 / $645.26 / $887.24	Professional		$463.78	$645.26	$887.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $630.14	Facility		$260.88	$260.88	$630.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $260.88 / $2,345.80	Professional		$190.44	$260.88	$2,345.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.01 / $342.70 / $428.37	Professional		$281.01	$342.70	$428.37
United Facility/Professional Professional Modifier Low / Median / High Price $178.84 / $268.26 / $335.33	Professional		$178.84	$268.26	$335.33