Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.27 / $229.27 / $238.44	Facility		$139.27	$229.27	$238.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.25 / $214.63 / $238.44	Professional		$191.25	$214.63	$238.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.88 / $481.74 / $506.31	Facility		$299.88	$481.74	$506.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.23 / $230.12 / $234.08	Professional		$220.23	$230.12	$234.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $361.31 / $615.38 / $703.30	Facility		$361.31	$615.38	$703.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $453.94 / $578.09 / $794.87	Professional		$453.94	$578.09	$794.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $305.27 / $564.54	Facility		$305.27	$305.27	$564.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.85 / $305.27 / $2,097.57	Professional		$222.85	$305.27	$2,097.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.76 / $307.02 / $383.78	Professional		$251.76	$307.02	$383.78
United Facility/Professional Professional Modifier Low / Median / High Price $160.22 / $240.34 / $317.58	Professional		$160.22	$240.34	$317.58