Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.76 / $216.70 / $225.36	Facility		$153.76	$216.70	$225.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.47 / $225.36 / $254.61	Professional		$193.47	$225.36	$254.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.44 / $455.33 / $478.55	Facility		$283.44	$455.33	$478.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.96 / $254.06 / $272.08	Professional		$212.96	$254.06	$272.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $341.50 / $614.70 / $764.29	Facility		$341.50	$614.70	$764.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $432.56 / $569.16 / $751.29	Professional		$432.56	$569.16	$751.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $557.89	Facility		$293.77	$293.77	$557.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $293.77 / $2,338.28	Professional		$214.45	$293.77	$2,338.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.94 / $290.18 / $362.72	Professional		$237.94	$290.18	$362.72
United Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $227.15 / $325.19	Professional		$151.44	$227.15	$325.19