Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.07 / $171.38 / $178.23	Facility		$156.07	$171.38	$178.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $173.83 / $190.88	Professional		$156.01	$173.83	$190.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.16 / $360.10 / $378.47	Facility		$224.16	$360.10	$378.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.42 / $192.14 / $195.45	Professional		$168.42	$192.14	$195.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.08 / $501.34 / $576.72	Facility		$270.08	$501.34	$576.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $342.10 / $447.63 / $594.16	Professional		$342.10	$447.63	$594.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $231.66 / $421.99	Facility		$231.66	$231.66	$421.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $231.66 / $1,717.51	Professional		$169.11	$231.66	$1,717.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.77 / $179.65 / $245.94	Professional		$119.77	$179.65	$245.94