Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.20 / $229.39 / $238.57	Facility		$175.20	$229.39	$238.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.81 / $268.61 / $300.83	Professional		$204.81	$268.61	$300.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.05 / $482.00 / $506.58	Facility		$300.05	$482.00	$506.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.21 / $289.50 / $294.47	Professional		$226.21	$289.50	$294.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $361.50 / $679.62 / $906.71	Facility		$361.50	$679.62	$906.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $479.76 / $649.08 / $795.30	Professional		$479.76	$649.08	$795.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $365.10 / $647.05	Facility		$365.10	$365.10	$647.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $365.10 / $2,712.02	Professional		$266.52	$365.10	$2,712.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.89 / $307.19 / $383.98	Professional		$251.89	$307.19	$383.98
United Facility/Professional Professional Modifier Low / Median / High Price $160.31 / $257.70 / $370.55	Professional		$160.31	$257.70	$370.55