Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.19 / $214.59 / $223.17	Facility		$160.19	$214.59	$223.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.59 / $232.26 / $262.30	Professional		$191.59	$232.26	$262.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.69 / $450.90 / $473.90	Facility		$280.69	$450.90	$473.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.90 / $264.70 / $269.24	Professional		$210.90	$264.70	$269.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.18 / $635.77 / $820.63	Facility		$338.18	$635.77	$820.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $428.36 / $563.63 / $743.99	Professional		$428.36	$563.63	$743.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $315.70 / $558.88	Facility		$315.70	$315.70	$558.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $315.70 / $2,342.42	Professional		$230.47	$315.70	$2,342.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $235.65 / $287.38 / $359.22	Professional		$235.65	$287.38	$359.22
United Facility/Professional Professional Modifier Low / Median / High Price $149.96 / $224.95 / $338.81	Professional		$149.96	$224.95	$338.81