Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.67 / $133.11 / $138.43	Facility		$101.67	$133.11	$138.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.85 / $136.57 / $188.22	Professional		$118.85	$136.57	$188.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.11 / $279.69 / $293.95	Facility		$174.11	$279.69	$293.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.82 / $167.98 / $170.68	Professional		$130.82	$167.98	$170.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $209.77 / $391.57 / $588.85	Facility		$209.77	$391.57	$588.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.69 / $349.61 / $461.49	Professional		$279.69	$349.61	$461.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $174.77 / $375.48	Facility		$174.77	$174.77	$375.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $174.77 / $1,573.73	Professional		$127.58	$174.77	$1,573.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $178.25 / $222.81	Professional		$146.16	$178.25	$222.81
United Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $139.54 / $213.53	Professional		$93.02	$139.54	$213.53