Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.21 / $190.64 / $198.27	Facility		$122.21	$190.64	$198.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.43 / $193.43 / $216.64	Professional		$166.43	$193.43	$216.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.36 / $400.58 / $421.01	Facility		$249.36	$400.58	$421.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.36 / $201.93 / $205.41	Professional		$187.36	$201.93	$205.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $300.44 / $540.78 / $650.32	Facility		$300.44	$540.78	$650.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.55 / $500.73 / $660.96	Professional		$380.55	$500.73	$660.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $469.43	Facility		$244.07	$244.07	$469.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $244.07 / $1,799.11	Professional		$178.17	$244.07	$1,799.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.34 / $255.30 / $319.12	Professional		$209.34	$255.30	$319.12
United Facility/Professional Professional Modifier Low / Median / High Price $133.22 / $199.84 / $264.08	Professional		$133.22	$199.84	$264.08