Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.87 / $124.21 / $129.16	Facility		$94.87	$124.21	$129.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.89 / $157.47 / $185.48	Professional		$110.89	$157.47	$185.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $260.99 / $274.30	Facility		$162.47	$260.99	$274.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.22 / $156.75 / $174.34	Professional		$133.22	$156.75	$174.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $195.74 / $368.00 / $529.92	Facility		$195.74	$368.00	$529.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $260.99 / $352.34 / $487.17	Professional		$260.99	$352.34	$487.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $225.10 / $355.53	Facility		$225.10	$225.10	$355.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $225.10 / $1,490.15	Professional		$164.32	$225.10	$1,490.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.39 / $166.33 / $207.91	Professional		$136.39	$166.33	$207.91
United Facility/Professional Facility Modifier Low / Median / High Price $172.06 / $172.06 / $200.64	Facility		$172.06	$172.06	$200.64
United Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $139.54 / $208.79	Professional		$86.80	$139.54	$208.79