Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.40 / $163.11 / $169.63	Facility		$111.40	$163.11	$169.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.63 / $165.48 / $181.71	Professional		$145.63	$165.48	$181.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.35 / $342.73 / $360.21	Facility		$213.35	$342.73	$360.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.30 / $184.07 / $187.23	Professional		$160.30	$184.07	$187.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.05 / $477.27 / $549.02	Facility		$257.05	$477.27	$549.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $325.58 / $426.14 / $565.50	Professional		$325.58	$426.14	$565.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $220.51 / $401.64	Facility		$220.51	$220.51	$401.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $220.51 / $1,647.33	Professional		$160.97	$220.51	$1,647.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.11 / $218.43 / $273.03	Professional		$179.11	$218.43	$273.03
United Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $170.99 / $235.61	Professional		$113.99	$170.99	$235.61