Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.32 / $166.70 / $173.36	Facility		$127.32	$166.70	$173.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.83 / $178.91 / $200.37	Professional		$148.83	$178.91	$200.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.04 / $350.26 / $368.12	Facility		$218.04	$350.26	$368.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.83 / $210.38 / $218.27	Professional		$163.83	$210.38	$218.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.70 / $493.87 / $601.47	Facility		$262.70	$493.87	$601.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $332.75 / $437.83 / $577.92	Professional		$332.75	$437.83	$577.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.19 / $243.19 / $456.38	Facility		$243.19	$243.19	$456.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $243.19 / $1,912.82	Professional		$177.53	$243.19	$1,912.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.04 / $223.23 / $279.03	Professional		$183.04	$223.23	$279.03
United Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $174.74 / $277.14	Professional		$116.50	$174.74	$277.14